摘要
目的:研究胸腔镜纵隔肿瘤切除术中应用非气管内插管自主呼吸全麻的临床效果。方法:选择我院行胸腔镜纵隔肿瘤切除术患者78例,以随机数字表法分观察组(非气管内插管自主呼吸全麻)与常规组(双腔管气管内插管全麻)各39例,评价两组手术时长、苏醒时长、早期恢复情况与并发症发生情况。结果:观察组患者苏醒时长显著短于常规组;两组患者住院时间无明显差异;观察组患者下床时间、进食时间明显短于常规组;观察组患者咽痛、刺激性咳嗽等并发症发生率明显低于常规组。结论:非气管内插管自主呼吸全麻下行胸腔镜纵隔肿瘤切除术有利于促进患者病情早期恢复,降低并发症发生率,改善预后与生活质量,值得推广。
Objective To study the clinical effect of thoracoscopic mediastinal tumor resection under spontaneous breathing general anesthesia without endotracheal intubation.Methods 78 patients who underwent thoracoscopic mediastinal tumor resection in our hospital were randomly divided into observation group (non endotracheal intubation spontaneous breathing general anesthesia) and conventional group (double lumen endotracheal intubation general anesthesia) with 39 cases in each group.The operation time,recovery time,early recovery and complications of the two groups were evaluated.Results The recovery time of patients in the observation group was significantly shorter than that in the conventional group;There was no significant difference in hospitalization time between the two groups;The time of getting out of bed and eating in the observation group were significantly shorter than those in the conventional group;The incidence of complications such as sore throat and irritating cough in the observation group was significantly lower than that in the conventional group.Conclusion Thoracoscopic mediastinal tumor resection under spontaneous breathing general anesthesia without endotracheal intubation is beneficial to promote the early recovery of patients,reduce the incidence of complications,and improve the prognosis and quality of life,which is worthy of promotion.
作者
欧阳才任
杨剑锋
Ouyang Cai-ren;Ying Jian-feng(Department of Anesthesiology,Huaihua Second People’s Hospital/Huaihua Tumor Hospital,Huaihua 418000,China;Hunan Normal University College of Medicine,Changsha 410013,China)
出处
《晓庄学院学报（医学版）》
2022年第4期143-146,共4页
Journal of Hunan Normal University(Medical Sciences)
关键词
非气管内插管
自主呼吸全麻
胸腔镜纵隔肿瘤切除术
临床效果
non-tracheal intubation
spontaneous anesthesia
thoracoscopic mediastinal tumor resection
clinical effect
