采用听诊法和传统方法确定气管插管套囊压力的临床观察  

The Clinical observation is to determine of the optimum pressre about endotracheal catheter cuff by auscultation

作　　者：黎安良 高鸿[2] 林少峰[1] 龙娟[1] 

机构地区：[1]贵州医科大学,贵州贵阳550000 [2]贵州医科大学附属医院,贵州贵阳550000

出　　处：《医药前沿》2016年第14期106-108,共3页Journal of Frontiers of Medicine

摘　　要：目的：评价听诊法确定气管导管套囊压力的效果。方法：120名择期全麻手术患者，ASAI—II级，性别不限，气管插管后随机分M组和T组，每组60例。M组采用经验法给气管套囊注气，T组采用听诊法给套囊注气，然后两组均用压力换能器测定套囊压力，确定无漏气后机械通气静吸复合麻醉下完成手术。术后24h对患者进行访视，记录患者咽痛、咳嗽、咳痰、声音嘶哑及血丝痰情况。结果：M组套囊压力明显高于T组（P〈0．05），M组患者术后咽痛、咳痰、声音嘶哑发生率明显高于T组（P〈0．05）。结论：听诊法确定气管导管套囊压力可在合适的套囊压力下封闭气道，又能明显减少插管后气道并发症，值得临床推广。Objective To evaluate the effect of the method to determine endotracheal tube cuff pressure method. Methods One hundred and twenty patients with（ASA） physical status I or II undergoing the elective operation under general anesthesia were randomly divided into two groups （n=60 each）.One group is empirical inflation called M. The other group is to determine the optimal the endotracheal tube cuff pressure through using auscultaory method called T. Messuring pressure of using pressure transducer after intubation by two kinds of Methods to inflate the cuff .To complete the operation under the condition of mechanical ventilation with no air leakage, recording the pressure value after the operate 24h.The patients were asked to abserve if sore throat, cough, expectoration, hoarseness and blood streaked sputum ,recoding the Results after visiting. Result The pressure in the M group was significantly higher than that in the T group（P 〈0.05）. In the M group phlegm and hoarseness was significantly higher than that in T group（P 〈 0.05）,there is statistical significance. Conclusion The study confirms that ausculatation-guided ETT cuff inflation is an effective way to seal the airway and associates with a lower ETT cuff pressure and lower incidence of cuff-related complications. It is worthy of clinical promotion.

关 键 词：听诊法 气管导管 套囊 压力 

分 类 号：R44[医药卫生—诊断学]