喉罩联合支气管封堵器全麻在胸腔镜单肺通气中的临床应用效果

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Abstract Objective To investigate clinical application effect of general anesthesia with laryngeal mask and bronchial occluder in thoracoscopic single lung ventilation. Methods A total of 94 patients with thoracoscopic single lung ventilation treated in our hospital from October 2014 to October 2017 were selected as the subjects, and divided into two groups by random number table method, with 47 cases in each group. The control group treated general anesthesia with tracheal catheter and bronchial occluder. The observation group treated general anesthesia with laryngeal mask and bronchial occluder. The changes of hemodynamic parameters were recorded in two groups. Pulmonary collapse scores were evaluated, and the recovery, peak airway pressure, adverse events were compared between two groups. Results The heart rate in observation group was lower than that in the control group at T2, T3, T4 (P＜0.05). Mean arterial pressure in observation group was lower than that in the control group at T2, T3, T4 (P＜0.05). The extubation time, spontaneous breathing time, eye opening time in observation group were earlier than those in the control group (P＜0.05). The pulmonary collapse score in observation group was higher than that in the control group (P＜0.05). There were no significant differences in peak airway pressure between two groups at different time points (before single lung ventilation,during single lung ventilation, after single lung ventilation) (P＞0.05). The incidences of adverse events (hoarseness,throat pain, cough, dysphagia) in observation group were lower than those in the control group (P＜0.05). Conclusion General anesthesia with laryngeal mask and bronchial occluder can be used in thoracoscopic single lung ventilation,which has good airway tightness and can improve ventilation effect of patients. It is worthy of clinical application.

Key words： Laryngeal mask Bronchial occluder Thoracoscopy Single lung ventilation Application effect

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	WANG Wei1
	ZHANG Cheng-zuo
	GAO Hang
	LI Xue

Cite this article:

WANG Wei1,ZHANG Cheng-zuo,GAO Hang, et al. Clinical application effect of general anesthesia with laryngeal mask and bronchial occluder in thoracoscopic single lung ventilation[J]. 中国当代医药, 2019, 26(9): 91-94.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2019/V26/I9/91

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