[1]陈志强,刘晓磊,张奕文,等.超声引导下肺复张在胸腔镜肺大泡切除术患者中的应用效果[J].医学信息,2020,33(21):97-99.[doi:10.3969/j.issn.1006-1959.2020.21.028]
　CHEN Zhi-qiang,LIU Xiao-lei,ZHANG Yi-wen,et al.Application of Ultrasound-guided Lung Recruitment in Patients Undergoing Thoracoscopic Bullaeectomy[J].Medical Information,2020,33(21):97-99.[doi:10.3969/j.issn.1006-1959.2020.21.028]
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超声引导下肺复张在胸腔镜肺大泡切除术患者中的应用效果()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年21期
页码:
97-99
栏目:
临床研究
出版日期:
2020-11-01

文章信息/Info

Title:
Application of Ultrasound-guided Lung Recruitment in Patients Undergoing Thoracoscopic Bullaeectomy
文章编号:
1006-1959（2020）21-0097-03
作者:
陈志强; 刘晓磊; 张奕文; 等
（南方医科大学顺德医院麻醉科，广东 佛山 528308）
Author(s):
CHEN Zhi-qiang; LIU Xiao-lei; ZHANG Yi-wen; et al
(Department of Anesthesiology,Shunde Hospital,Southern Medical University,Foshan 528308,Guangdong,China)
关键词:
肺大泡切除手术; 超声; 肺复张
Keywords:
Bullectomy; Ultrasound; Recruitment of lung
分类号:
R563.8
DOI:
10.3969/j.issn.1006-1959.2020.21.028
文献标志码:
A
摘要:
目的 探讨超声引导在肺大泡切除术中肺复张的应用效果。方法 选择2018年12月~2019年12月我院60例拟行肺大泡切除术的患者作为研究对象，随机分为试验组和对照组，各30例。肺复张策略：关胸前对患者行压力控制性肺膨胀法进行肺复张（RM1），术毕再次行肺复张（RM2）：对照组行常规压力控制性肺复张，试验组在超声引导下行肺复张。比较两组手术时间，RM1前（T1）、RM1后10 min（T2）、RM2前（T3）、RM2后10 min（T4）、RM2后30 min（T5）、RM2后1 h（T6）平均动脉压（MAP）、心率（HR）、血氧饱和度（SpO2）、气道峰压、动脉血氧分压（PaO2）、动脉血二氧化碳分压（PaCO2）及氧合指数（OI）。结果 两组手术时间比较，差异无统计学意义（P＞0.05）；试验组气道峰压低于对照组，差异有统计学意义（P＜0.05）；不同时间点两组MAP、HR、SpO2、PaO2、PaCO2、OI比较，差异无统计学意义（P＞0.05）；两组T4、T5时点HR、MAP高于T1、T2、T3时点，差异有统计学意义（P＜0.05）；两组T4、T5、T6时点PaO2、OI高于T1、T3时点，差异有统计学意义（P＜0.05）。结论 肺大泡切除术患者行超声指导下肺复张可降低肺复张过程中的气道压力，且不影响患者的循环与通气功能。
Abstract:
Objective To investigate the effect of ultrasound guidance in lung recruitment during bullaectomy.Methods From December 2018 to December 2019, 60 patients in our hospital who were scheduled to undergo pulmonary bulla resection were selected as the research objects, and they were randomly divided into experimental group and control group, with 30 cases in each group. Recruitment strategy: pressure-controlled lung expansion (RM1) was performed on the patient before the chest was closed, and recruitment was performed again after the operation (RM2): the control group received conventional pressure-controlled lung recruitment, and the test group recruitment of lung under ultrasound guidance. The operation time of the two groups was compared. The average operation time was before RM1 (T1), 10 min after RM1 (T2), before RM2 (T3), 10 min after RM2 (T4), 30 min after RM2 (T5), and 1 h after RM2 (T6). Arterial pressure (MAP), heart rate (HR), blood oxygen saturation (SpO2), peak airway pressure, arterial partial pressure of oxygen (PaO2), arterial partial pressure of carbon dioxide (PaCO2) and oxygenation index (OI).Results There was no statistically significant difference in the operation time between the two groups (P>0.05); the peak airway pressure of the test group was lower than that of the control group,the difference was statistically significant (P<0.05);There was no significant difference in MAP, HR, SpO2, PaO2, PaCO2, OI between the two groups at different time points (P>0.05); HR and MAP at T4 and T5 were higher than those at T1, T2 and T3,the difference was statistically significant (P<0.05); PaO2 and OI at T4, T5, and T6 were higher than those at T1 and T3,the difference was statistically significant (P<0.05).Conclusion Recruitment of the lung under the guidance of ultrasound could reduce the airway pressure during the recruitment of the lung in patients undergoing pulmonary bullaectomy without affecting the patient’s circulatory and ventilation function.

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更新日期/Last Update: 1900-01-01