带套囊或无套囊气管导管在足月新生儿先天性肠闭锁手术中的应用比较  

Comparison of the application of cuffed or uncuffed endotracheal tubes in full‑term newborns undergoing congenital intestinal atresia surgery

作　　者：万珍珍[1] 乐林莉[1] 陈明[1] 李娜[1] 陈林[1] 余凌[1] Wan Zhenzhen;Yue Linli;Chen Ming;Li Nay Chen Lin;Yu Ling(Department of Anesthesiology,the Maternal and Child Health Hospital of Hubei Province,Wuhan 430070,China)

机构地区：[1]湖北省妇幼保健院麻醉科,武汉430070

出　　处：《国际麻醉学与复苏杂志》2020年第4期340-343,共4页International Journal of Anesthesiology and Resuscitation

摘　　要：目的:比较带套囊气管导管和无套囊气管导管在足月新生儿先天性肠闭锁手术中的应用效果。方法:选择拟于全身麻醉下行先天性肠闭锁手术的新生儿60例,采用随机数字表法分为带套囊组(C组)和无套囊组(U组),每组30例。C组术中使用带套囊气管导管,U组使用无套囊气管导管。比较两组患儿换管率及术后气道情况[拔管脱氧后5 min内低氧血症(SpO 2<95%)、喉痉挛、术后喘鸣的发生率],术后1周随访吸入性肺炎的发生情况。结果:U组患儿换管率(26.7%比3.3%)、拔管脱氧后5 min内低氧血症(10.0%比0)、喉痉挛(10.0%比0)、吸入性肺炎发生率(10.0%比0)大于C组(P<0.05),两组患儿术后喘鸣发生率差异无统计学意义(P>0.05)。结论:在足月新生儿先天性肠闭锁手术中,使用带套囊气管导管优于无套囊气管导管,应用效果良好。Objective To compare the application of cufled and uncuffed endotracheal tubes in flerm neonates undergoing congenital intestinal atresia surgery.Methods Sixty newborns who were scheduled to perform congenital intestinal atresia surgery under general anesthesia were selected.They were divided into two groups,according to the random number table method(n=30):a cuffed endotracheal tube group(group C)and an uncuffed endotracheal tube group(group U).Group C used cuffed endotracheal tubes for surgical procedures,while uncuffed endotracheal tubes were adopted in group U.Both groups were compared for the changing rate of endotracheal tubes and airway condition after surgery the incidence of hypoxemia within 5 min after extuba-tion(Sp02<95%),laryngospasm and post operative wheezingl,and the incidence of inspiratory pneumonia during ollw-up visit one week after surgery.Results Patients in group U presented increases in the changing rate of endotracheal tubes(26.7%vs 3.3%),the ineidence of hypoxemia within 5 min after extubation(10.0%vs 0),laryngospasm incidence(10.0%vs 0)and inspiratory pneumonia incidence(10.0%vs 0),compared with those in group C(P<0.05).There were no statistical difference in the ineidence of post-operative wheexing between the lwo groups(P>0.05).Conclusions Cuffed endotracheal tubes are superior to uncuffed ones in fll-term neonates during congenital intestinal atresia surgery,with good eficacey.

关 键 词：新生儿 气管导管 麻醉 全身 先天性肠闭锁 

分 类 号：R72[医药卫生—儿科]