非气管插管与气管插管在胸外科手术应用的效果对比  

Effects of non-endotracheal intubation versus endotracheal intubation in thoracic surgery

作　　者：余扬 李俞锦[2] 宁显谷[1] 陈新隆[1] 徐嘉阳 蔡林生 崔凤仙[1] 金华[2] 彭俊[1] YU Yang;LI Yujin;NING Xiangu;CHEN Xinlong;XU Jiayang;CAI Linsheng;CUI Fengxian;JIN Hua;PENG Jun(Department of Thoracic Surgery,The First People’s Hospital of Yunnan Province,The Affiliated Hospital of Kunming University of Science and Technology,Kunming,650200,P.R.China;Department of Anesthesiology,The First People’s Hospital of Yunnan Province,The Affiliated Hospital of Kunming University of Science and Technology,Kunming,650200,P.R.China;Kunming University of Science and Technology School of Medicine,Kunming,650000,P.R.China)

机构地区：[1]云南省第一人民医院昆明理工大学附属医院胸外科,昆明650200 [2]云南省第一人民医院昆明理工大学附属医院麻醉科,昆明650200 [3]昆明理工大学医学院,昆明650000

出　　处：《中国胸心血管外科临床杂志》2022年第5期602-606,共5页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

基　　金：云南省卫生科技计划项目(2018NS0272)。

摘　　要：目的探讨非气管插管技术在常规胸外科手术中的可行性和安全性,以及术后康复疗效。方法收集我院2017年9月—2019年12月行胸部手术的患者共296例,其中男167例、女129例,年龄16~76(50.69±12.95)岁。根据是否插管,将患者分为两组:非气管插管组150例,其中男83例、女67例,年龄16~76(49.91±13.59)岁;气管插管组146例,其中男84例、女62例,年龄16~74(51.49±12.26)岁。比较两组术中情况、术后恢复、炎症反应等情况。结果两组患者在手术时间、术中出血量、术中最低血氧饱和度等指标差异均无统计学意义(P>0.05),但非气管插管组术中动脉血二氧化碳分压高于气管插管组(P=0.012)。术后恢复及炎症反应方面,非气管插管组均优于气管插管组(P<0.05)。结论非气管插管技术在胸外科手术中有较好的安全性和可操作性,且在加速术后康复等方面也有一定的优势。Objective To investigate the feasibility and safety of non-intubation anesthesia in thoracic surgery.Methods From September 2017 to December 2019,296 patients were operated at department of thoracic surgery in our hospital.There were 167 males and 129 females with an average age of 50.69±12.95 years,ranging from 16 to 76 years.The patients were divided into two groups according to whether they were intubated:150 patients were in a non-intubation group,including 83 males and 67 females with an average age of 49.91±13.59 years,ranging from 16 to 76 years,and 146patients were in an intubation group including 84 males and 62 females with an average age of 51.49±12.26 years,ranging from 16 to 74 years.Intraoperative data,postoperative recovery,inflammatory response of the two groups were compared.Results There was no statistical difference between the two groups in operation time,blood loss,the lowest oxygen saturation or other indicators(P>0.05).But the highest partial pressure of carbon dioxide of the non-intubation group was higher than that of the intubation group(P=0.012).The non-intubation group was superior to the intubation group in postoperative recovery and inflammatory response(P<0.05).Conclusion The non-intubation anesthesia is safe and maneuverable in thoracic surgery,and it has some advantages in accelerating postoperative rehabilitation.

关 键 词：非气管插管 胸部手术 术后康复 炎症反应 

分 类 号：R614[医药卫生—麻醉学]