LED光源作为纤支镜光源在胸科手术中COOPDECH封堵管对位中的应用  

Application of LED light source as bronchofiberscope light source in COOPDECH plugging tube alignment in thoracic surgery

作　　者：张润泽[1] 蔡淑女[1] 程云 付霜[1] 

机构地区：[1]浙江省肿瘤医院麻醉科,浙江杭州310000

出　　处：《中国现代医生》2017年第35期12-15,共4页China Modern Doctor

基　　金：浙江省医药卫生科技计划(2016ZHA001)

摘　　要：目的评价发光二极管(LED)作为纤支镜光源在胸科手术中的应用。方法选择2016年7~12月入组的60例需行左肺手术的患者,随机分成A组(传统光源,n=30)和B组(LED光源,n=30),比较两组的左侧对位时间、再次对位次数、术中肺萎陷情况及对位成功率。同时选取60例需行右肺手术的患者,随机分成C组(传统光源,n=30)和D组(LED光源,n=30),记录右侧对位时间、再次对位次数、术中肺萎陷情况及对位成功率。结果 A组和B组对位时间[(32.6±9.8)s vs(36.4±9.9)s]、C组和D组对位时间[(41.1±11.0)s vs(40.2±11.2)s]均无明显差异(P>0.05)。A组和B组单肺时间[(74.4±20.9)min vs(81.6±21.5)min]、C组和D组单肺时间[(75.0±22.1)min vs(80.1±23.6)min]均无明显差异(P>0.05)。A和B组术中再次对位次数[(1.00±0.22)次vs(0.83±0.20)次]、C组和D组术中再次对位次数[(2.37±0.61)次vs(2.97±0.82)次]均无明显差异(P>0.05)。A组和B组术中肺萎陷情况[(1.87±0.42)分vs(2.21±0.40)分]、C组和D组术中肺萎陷情况[(1.86±0.41)分vs(1.79±0.36)分]均无明显差异(P>0.05)。4组对位成功率均为100%。左肺和右肺术中封堵管再次对位次数比较[(1.02±0.21)次vs(2.67±0.58)次],差异有统计学意义(P<0.01),术中左肺用纤支镜再次对位次数要少于右肺。结论 LED作为光源可以在胸外科麻醉中广泛应用。Objective To evaluate the application of light-emitting diode（LED） as a light source of bronchofiberscope in thoracic surgery. Methods From July to December 2016, 60 patients who were in need of left lung surgery were selected and randomly divided into group A（n=30, traditional light source） and group B（n=30, LED light source）. The time of left alignment, the number of re-alignment, intraoperative lung collapse and alignment success rate were compared between the two groups. At the same time, 60 patients who were in need of right lung surgery were randomly divided into group C （n=30, traditional light source） and group D（n=30, LED light source）. The time of right alignment, the number of re-alignment, intraoperative lung collapse and alignment success rate were recorded. Results The alignment time in group A and group B[（32.6±9.8 s）s vs （36.4±9.9）s], and the alignment time in group C and group D[（41.1±11.0）s vs （40.2± 11.2）s]） were not significantly different（P〉0.05）. The single lung time in group A and group B [（74.4±20.9）min vs （81.6± 21.5）mini, and the single lung time in group C and group D[（75.0±22.1）min vs （80.1±23.6）mini, were not significantly different（P〉0.05）. The number of intraoperative re-alignment in group A and group B[（1.00±0.22） times vs （0.83±0.20） times], and the number of intraoperative re-alignment in group C and group D [（2.37±0.61） times vs （2.97±0.82） times], were not significantly different（P〉0.05）. The intraoperative lung collapse in group A and group B[（1.87±0.42） points vs （2.21± 0.40） points], and the intraoperative lung collapse in group C and group D[（1.86±0.41） points vs （1.79±0.36） points, were not significantly different（P〉0.05）. The alignment success rate in all four groups was 100%. The number of realignment of plugging tube in the left and right lungs were compared[（1.02±0.21） times vs （2.67±0.58） times], with statistical significance（P〈0.

关 键 词：发光二极管 胸科手术 医学光源 封堵管 

分 类 号：R614[医药卫生—麻醉学] R197[医药卫生—外科学]