“快速康复”胸科麻醉技术用于胸腔镜手术患者中的效果研究  

Study on the Effect of “Rapid Recovery”Chest Anesthesia technique in Patients with Thoracoscopic Surgery

作　　者：黄理进[1] 张婵娟[1] 陈海林[1] 利鸿胜[1] 吕华亮[1] HUANG Lijin;ZHANG Chanjuan;CHEN Hailin(Maoming People’s Hospital,Maoming 525000,Chin)

机构地区：[1]广东省茂名市人民医院,广东茂名525000

出　　处：《中国医学创新》2018年第10期50-53,共4页Medical Innovation of China

基　　金：茂名市科技计划项目(2016016)

摘　　要：目的:研究与分析"快速康复"胸科麻醉技术用于胸腔镜手术患者中的应用效果。方法:选取自2016年2月-2017年12月经本院收治拟实施胸腔镜手术的患者84例,并按随机数字表法将其分为对照组与观察组,每组各42例。对照组在双腔气管插管全麻单肺通气下行胸腔镜手术,观察组则在保留自主呼吸喉罩静脉麻醉+完善的区域阻滞(皮肤局麻/肋间神经阻滞/肺表面喷洒麻药/迷走神经阻滞)下行胸腔镜手术。对比两组术中、术后各项指标变化情况。结果:观察组手术视野暴露评分(1.53±0.39)分、麻醉效果评分(1.22±0.28)分、手术及麻醉时间(3.19±0.44)h均明显低于对照组手术视野暴露评分(2.82±0.41)分、麻醉效果评分(2.04±0.15)分、手术及麻醉时间(5.31±0.25)h;观察组术后开始进食时间(2.27±0.51)d、开始下地活动时间(4.86±0.44)h、术后住院时间(5.24±0.74)d等均明显低于对照组术后开始进食时间(3.81±1.05)d、开始下地活动时间(48.33±8.47)h、术后住院时间(9.16±1.63)d。两组比较差异均有统计学意义(P<0.05)。结论:快速康复胸科麻醉技术具有高效、创伤小、疼痛较轻等优点,在胸腔镜手术中应用效果较优。Objective：To study and analyze the application effect of＂rapid recovery＂chest anesthesia in patients with thoracoscopic surgery.Method：From February 2016 to December 2017,84 patients with thoracoscopic surgery were selected in our hospital,according to the random number table method,they were divided into control group and observation group,42 cases in each group.The control group received thoracoscopic surgery under general anesthesia and single lung ventilation with double lumen endotracheal intubation,the observation group was treated with thoracoscopic surgery under retention of self breathing laryngeal mask intravenous anesthesia plus complete regional block（skin local anesthesia/intercostal nerve block/lung surface spraying anesthesia/vagus nerve block）.The changes situation of indexes during operation and after operation were compared between the two groups.Result：The observation group with surgery field exposure score of（1.53±0.39） score,the anesthesia effect score of（1.22±0.28） score,surgery and anesthesia time of（3.19±0.44）h were significantly lower than those of the control group with surgery field exposed score of（2.82±0.41） score,anesthetic effect score of（2.04±0.15） score,surgery and anesthesia time of（5.31±0.25） h;the observation group with postoperative feeding time of（2.27±0.51） d,start ambulation time of（4.86±0.44） h, postoperative hospitalization time of（5.24±0.74） d were significantly lower than those of the control group with postoperative feeding time of（3.81±1.05）d,start ambulation time of（48.33±8.47）h,postoperative hospitalization time of（9.16±1.63）d,the differences were statistically significant（P〈0.05）.Conclusion：The technique of rapid recovery chest anesthesia has the advantages of high efficiency,less trauma,less pain and so on.It has a better effect in thoracoscopic surgery.

关 键 词：胸科 胸腔镜 快速康复 麻醉 

分 类 号：R614[医药卫生—麻醉学]