上海交通大学学报（医学版）

›› 2011, Vol. 31 ›› Issue (3): 384-.doi: 10.3969/j.issn.1674-8115.2011.03.033

• 技术与方法 • 上一篇    

双腔支气管导管应用效果和安全性的比较研究

朱宏伟, 吴德华, 张晓峰, 徐美英   

  1. 上海交通大学附属胸科医院麻醉科, 上海 200030
  • 出版日期:2011-03-28 发布日期:2011-03-29
  • 作者简介:朱宏伟（1977—）, 男, 主治医师, 硕士生；电子信箱: zhuhongwei06@yahoo.com.cn。
  • 基金资助:

    上海市级医院适宜技术联合开发推广应用项目(SHDC12010222)

Comparison study of effects of application and safety of double-lumen endobronchial tubes

ZHU Hong-wei, WU De-hua, ZHANG Xiao-feng, XU Mei-ying   

  1. Department of Anesthesiology, Shanghai Chest Hospital, Shanghai Jiaotong University, Shanghai 200030, China
  • Online:2011-03-28 Published:2011-03-29
  • Supported by:

    Shanghai Municipal Hospital Technology Joint Project, SHDC12010222

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摘要：

目的 比较国产与进口双腔支气管导管的临床使用效果及安全性。方法 60例胸外科择期手术需要单肺通气的患者根据术中使用双腔支气管导管的不同分为A组（国产驼人双腔支气管导管）、B组（进口Portex双腔支气管导管）和C组（进口Tyco双腔支气管导管），每组20例。记录插管时间和尝试插管次数、改变体位后需行纤维支气管镜（纤支镜）检查的次数、肺萎陷质量，观察平卧位双肺通气、侧卧位双肺通气、单肺通气15 min、单肺通气30 min、双肺通气5 min时的吸气峰值压力(Ppeak)和肺动态顺应性(Cdyn)的变化，以及术后24 h声音嘶哑和咽喉痛的发生情况。对记录和观察指标进行统计学分析。结果 三组间插管时间和尝试插管次数、改变体位后需纤支镜检查的次数、肺萎陷质量、相同时间点的 Ppeak和Cdyn的变化以及术后24 h声音嘶哑和咽喉痛的发生率比较，差异均无统计学意义（P>0.05）。结论 国产双腔支气管导管与进口品牌产品在使用效果和安全性方面无明显差异，具有更高的性价比。

关键词: 单肺通气, 双腔支气管导管, 效果, 安全性

Abstract:

Objective To compare the effects of clinical application and safety between domestic and imported double-lumen endobronchial tubes. Methods Sixty patients undergoing selective thoracic operations with one-lung ventilation were divided into three groups according to the use of different doublelumen endobronchial tubes: group A (domestic Tuoren-brand double-lumen endobronchial tube, n=20), group B (imported Portex-brand double-lumen endobronchial tube, n=20) and group C (imported Tyco-brand double-lumen endobronchial tube, n=20). The intubation time and number of placement attempts, the number of bronchofibroscopy after changing position and the level of pulmonary collapse state were recorded. The changes of inspiratory peak pressure (Ppeak) and pulmonary dynamic compliance (Cdyn) at different time points of supine position and lateral position with two-lung ventilation, 15 min and 30 min after one-lung ventilation and 5 min after two-lung ventilation were observed, and the prevalences of hoarseness and sore throat 24 h after operation were assessed. The parameters recorded or observed were statistically analysed. Results There was no significant difference in the intubation time and number of placement attempts, number of bronchofibroscopy after changing position, level of pulmonary collapse state, changes of Ppeak and Cdyn at the same time points and prevalences of hoarseness and sore throat among three groups (P>0.05). Conclusion There is no significant difference in effects of clinical application and safety among domestic and imported double-lumen endobronchial tubes. The domestic double-lumen endobronchial tube is highly cost-effective.

Key words: one-lung ventilation, double-lumen endobronchial tube, effect, safety