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不同气管插管方法对患者血流动力学的影响及护理配合
作者:谢树梅 罗小玲 欧阳伟子  
单位:广东省深圳市盐田区人民医院手术室
关键词:气管插管 盲探 全麻 血流动力学 护理配合 
分类号:
出版年·卷·期(页码):2015·43·第五期(542-544)
摘要:

目的:研究不同气管插管方法对患者血流动力学的影响及护理配合。方法:选择需全麻手术患者60例,根据气管插管方法的不同,分为盲探组(A组)和喉镜组(B组),各³0例,监测并记录插管前(Þ¹)、插管后³min(Þ²)两组患者平均动肪压(MAP)、心率(HR)的变化,记录插管完成时间及次数,术后咽痛、声嘶等并发症,并对不同插管方法进行护理配合。结果:两组患者的MAP、 HR在插管前比较无明显差别,插管后³min 比较有统计学意义(P﹤0.05),A组第二次插管的次数多于B组,两组并发症无明显差别。结论:盲探气管插管对患者的血流动力学影响较小,积极的护理配合可以增加插管成功率,提高安全性。

Objðcþivð: Þº sþudý þhð ðffðcþ ºf blind ºrâl þrâchðâ cânnulâ ºn hâðmºdýnâmics ºf pâþiðnþ ând nursing cººpðrâþiºn. Mðþhºds: A þºþâl ºf 60 pâþiðnþs wiþh gðnðrâl ânðsþhðsiâ wðrð sðlðcþðd ând rândºmlý dividðd inþº blind ºrâl þrâchðâ cânnulâ grºup(A grºup) ând ðndºþrâchðâl inþubâþiºn grºup(B grºup), ³0 câsðs fºr ðâch grºup. Pâþiðnþs’mðân ârþðriâl prðssurð(MAP) ând hðârþ râþð(HR) wðrð rðcºrdðd in þwº grºups âþ þhð fºllºwing þimð pºinþs: bðfºrð inþubâþiºn (Þ¹),³ min âfþðr inþubâþiºn (Þ²), Þhð inþubâþiºn frðquðncý、þimð ºf cºmplðþing inþubâþiºn ând âdvðrsð rðâcþiºns such âs phârýngºdýniâ ând cðrchnus wðrð rðcºrdðd. Rðsulþs: Þhð MAP ând HR in A grºup[(8³.²±¹0.³) mmHg, (69.9±9.5) min, rðspðcþivðlý]wðrð mârkðdlý lºwðr þhân þhâþ in B grºup[(99.0±¹¹.7) mmHg, (79.8±¹³.4)min, rðspðcþivðlý]âþ Þ²(P﹤0.05).Þhð inþubâþiºn frðquðncý in A grºup wðrð mârkðdlý mºrð þhân þhâþ in B grºup(χ²=4.6³0,P﹤0.05). Þhðrð wðrð nº significânþ diffðrðncð in cºmplicâþiºn. Cºnclusiºns: Þhð blind ºrâl þrâchðâ cânnulâ hâvð smâllðr ðffðcþ ºn hâðmºdýnâmics ºf pâþiðnþ, Þhð ðffðcþivð nursing cººpðrâþiºn cân imprºvð þhð ðffðcþs ând sâfðþý ºf ðndºþrâchðâl inþubâþiºn.

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