不同喷射通气模式在气道介入治疗中的应用效果对比  

Comparison of the Application Effect of Different Jet Ventilation Modes in Airway Interventional Therapy

作　　者：朱淑华 李立芊 朱燕琴 ZHU Shuhua;LI Liqian;ZHU Yanqin(Department of Anesthesia,Fuzhou First General Hospital,Fuzhou 350000,China;不详)

机构地区：[1]福州市第一总医院麻醉科,福建福州350000

出　　处：《中国医学创新》2024年第20期121-124,共4页Medical Innovation of China

摘　　要：目的:对比分析不同喷射通气模式在气道介入治疗中的应用效果。方法:选取福州市第一总医院收治的50例行气道介入治疗的患者为对象,纳入时间为2019年7月—2023年7月,以随机数字表法进行分组,参照组、研究组各25例。参照组手术过程中给予高频喷射通气,研究组手术过程中给予高频叠加喷射通气。对比两组不同时间点[手术前(T_(0))、喷射通气5 min后(T_(1))、喷射通气20 min后(T_(2))、手术结束时(T_(3))]血流动力学、血气指标、围手术期指标及并发症发生情况。结果:T_(0)、T_(1)、T_(2)、T_(3)时间点,两组心率、平均动脉压比较,差异均无统计学意义(P>0.05);与T_(0)时间点相比,T_(1)、T_(2)时间点两组的心率、平均动脉压均降低,T_(3)时间点两组平均动脉压及参照组心率均降低,差异均有统计学意义(P<0.05)。与T_(1)时间点相比,T_(2)时间点两组经皮动脉血氧饱和度、呼气末二氧化碳分压均升高,但研究组经皮动脉血氧饱和度高于参照组,呼气末二氧化碳分压低于参照组(P<0.05)。两组手术时间、麻醉苏醒时间比较,差异均无统计学意义(P>0.05)。两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:与高频喷射通气相比,在气道介入治疗中应用高频叠加喷射通气进行干预具有更好的可行性,能更好地改善通气,减少相关不良事件发生。Objective:To compare and analyze the application effect of different jet ventilation modes in airway interventional therapy.Method:A total of 50 patients underwent airway intervention therapy admitted to Fuzhou First General Hospital were selected as the subjects,and the inclusion time was from July 2019 to July 2023.The patients were divided into the reference group and the study group by random number table method,with 25 cases in each group.The reference group was given high frequency jet ventilation during the operation,and the study group was given high frequency superimposed jet ventilation during the operation.The hemodynamics at different time points[before operation(T_(0)),after 5 min of jet ventilation(T_(1)),after 20 min of jet ventilation(T_(2))and the end of operation(T_(3))],blood gas indexes,perioperative indexes and complications were compared between the two groups.Result:At T_(0),T_(1),T_(2) and T_(3) time point,there were no significant differences in heart rate and mean arterial pressure between the two groups(P>0.05).Compared with T_(0) time point,the heart rate and mean arterial pressure of the two groups were decreased at T_(1) and T_(2) time point,and the mean arterial pressure of the two groups and the heart rate of the reference group were decreased at T_(3) time point,the differences were statistically significant(P<0.05).Compared with T_(1) time point,the percutaneous arterial oxygen saturation and partial pressure of end-tidal carbon dioxide in the two groups were increased at T_(2) time point,but the percutaneous arterial oxygen saturation in the study group was higher than that in the reference group,and the partial pressure of end-tidal carbon dioxide was lower than that in the reference group(P<0.05).There were no significant differences in operation time and anesthesia recovery time between the two groups(P>0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion:Compared with high frequency jet ventilation,the applicat

关 键 词：气道介入治疗 全身麻醉 高频喷射通气 高频叠加喷射通气 血流动力学 

分 类 号：R614[医药卫生—麻醉学]