湿化高流量鼻导管氧疗配合可视喉镜下环杓关节脱位复位术  

Humidified high flow nasal cannula and visual laryngoscope

作　　者：姜蕾[1] 何双八[2] 孙国燕[2] 李光飞[2] 孙子慧 鞠学军[1] 张庆翔[2] 张小慧 张兰 孟玮[2] JIANG Lei;HE Shuangba;SUN Guoyan;LI Guangfei;SUN Zihui;JU Xuejun;ZHANG Qingxiang;ZHANG Xiaohui;ZHANG Lan;MENG Wei(Department of Anesthesiology,Nanjing Tongren Hospital,School of Medicine,Southeast University,Nanjing,210o0l,China;Department of Otolaryngology Head and Neck Surgery,Nanjing Tongren Hospital,School of Medicine,Southeast University)

机构地区：[1]东南大学医学院附属南京同仁医院麻醉科,南京210001 [2]东南大学医学院附属南京同仁医院耳鼻咽喉头颈外科,南京210001

出　　处：《临床耳鼻咽喉头颈外科杂志》2023年第1期67-71,共5页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨湿化高流量鼻导管氧疗(HHFNC)配合可视喉镜在环杓关节脱位复位术中的应用价值。方法:将29例环杓关节脱位患者随机双盲分为HHFNC组和普通鼻导管氧疗组,比较两组术中及术后评估指标、麻醉相关指标以及术前术后声带情况。结果:两组术中血氧饱和度、微旁流二氧化碳分压、呼吸频率、呼吸干预次数的差异均有统计学意义(P<0.05),术后心率、血氧饱和度、呼吸频率的差异有统计学意义(P<0.05)。两组患者有效呼吸时长、麻醉苏醒时间及苏醒评分的差异有统计学意义(P<0.05)。复位后患者嗓音障碍指数、嗓音异常程度、粗糙声、气息声、无力样发音及紧张性发音术后较术前变化显著。结论:HHFNC配合可视喉镜下环杓关节脱位复位术,麻醉安全性高,患者配合度好,手术效果良好。Objective:To study the application value of humidified high flow nasal cannula(HHFNC)combined with visual laryngoscopy in the arytenoid cartilage dislocation.Methods:Twenty-nine patients with arytenoid cartilage dislocation were randomly double-blind into HHFNC group and general nasal catheter oxygen suction group,and the intraoperative and postoperative evaluation indicators,anesthesia-related indicators and postoperative vocal cord were compared.Results:There were statistically significant differences in intraoperative blood oxygen saturation,microstream end-tidal carbon dioxide partial pressure EtCO2,respiratory rate and respiratory intervention times between the two groups(P<0.05),and statistically significant differences in postoperative heart rate,oxygen saturation and respiratory rate(P<0.05).After reduction,the voice disturbance index,the degree of voice abnormality,rough voice,breath sound,powerless pronunciation and catatonic pronunciation changed significantly after operation.Conclusion:HHFNC combined with visual laryngoscopy in the arytenoid cartilage dislocation has high anesthetic safety,good cooperation of patients,and good surgical effect.

关 键 词：环杓关节脱位 湿化高流量鼻导管氧疗 可视喉镜 

分 类 号：R767.91[医药卫生—耳鼻咽喉科]