明视插管软镜在双腔支气管导管定位中的应用效果  

Application effect of clear vision intubation soft lens in the positioning of double-lumen bronchial catheter

作　　者：叶丽群[1] 罗斌 李雪瑜 YE Li-qun;LUO Bin;LI Xue-yu(Department of Anesthesiology,People′s Hospital of Huaiji County,Guangdong Province,Huaiji546400,China)

机构地区：[1]广东省怀集县人民医院麻醉科,广东怀集546400

出　　处：《中国当代医药》2020年第31期153-156,共4页China Modern Medicine

基　　金：广东省肇庆市科技创新指导类项目(202004030833)。

摘　　要：目的探讨明视插管软镜(VIS)应用于双腔支气管导管(DLT)定位的临床效果。方法选取2018年2月~2019年10月我院收治的择期胸科手术需要单肺通气的60例患者为研究对象,按照随机数字表法将其分为对照组与观察组,每组各30例。所有患者均行静吸复合全身麻醉,对照组采用胸部听诊法定位,观察组采用VIS定位。比较两组患者的总定位准确率、并发症总发生率、双腔支气管定位时间、生命体征指标。结果观察组患者的总定位准确率高于对照组,差异有统计学意义(P<0.05)。观察组患者的并发症总发生率低于对照组,差异有统计学意义(P<0.05)。观察组患者的左、右侧双腔支气管定位时间均短于对照组,差异有统计学意义(P<0.05)。定位期间,两组患者的脉搏血氧饱和度、呼气末二氧化碳分压、平均动脉压等指标比较,差异无统计学意义(P>0.05)。结论采用VIS进行DLT定位,总定位准确率较高,定位时间短,且并发症总发生率较低,生命体征指标稳定,值得临床推广应用。Objective To investigate the clinical effect of visual intubation soft lens(VIS)in the positioning of double-lumen bronchial catheter(DLT).Methods A total of 60 patients who admitted to our hospital from February 2018 to October 2019 for elective thoracic surgery requiring one-lung ventilation were selected as research subjects and divided into the control group and the observation group according to the random number table method,with 30 cases in each group.All patients underwent aspiration combined with general anesthesia.The control group achieved chest auscultation and the observation group achieved VIS positioning.The total positioning accuracy,the total incidence of complications,the positioning time of double-lumen bronchial catheter and the vital signs were compared between the two groups.Results The total positioning accuracy of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The positioning time of left and right double-lumen bronchial catheter in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).During the positioning period,there were no statistically significant differences in pulse oxygen saturation,partial pressure of carbon dioxide at the end of respiration and mean arterial pressure between the two groups(P>0.05).Conclusion The VIS in the positioning of DLT has higher positioning accuracy,can shorten the positioning time,reduce the complication rate,and the vital signs index is stable.It is worthy of clinical promotion and application.

关 键 词：明视插管软镜 双腔支气管导管 单肺通气 定位时间 

分 类 号：R614[医药卫生—麻醉学]