视频双光管对胸部手术患者输管并发症的影响:一项随机对照研究
Weikang Shui1, Wei Hu, Wenwen Ma
1From the Jiangsu Province Key laboratory of Anaesthesiology, Xuzhou Medical University (WS, WH, YS, ZD, SZ), Department of Anaesthesiology, Xuzhou Cancer Hospital, Xuzhou (WM, YH, SZ, LH, SZ), California State University, Los Angeles, USA (IYH) and Jiangsu University, Zhenjiang, Jiangsu, China (YG).
European journal of anaesthesiology
|February 1, 2024
概括
与标准双管 (DLT) 相比,视频双管 (VDLT) 并没有显著减少气管或声带损伤. 然而,VDLT与胸部手术患者的术后喉痛和声增加有关.
科学领域:
- 麻醉学 麻醉学
- 胸部外科手术 胸部外科手术
- 医疗器械 医疗器械
背景情况:
- 双光管 (DLT) 输入管通常会导致气管和声带损伤,喉疼痛和声.
- 视频双管 (VDLT) 在输管过程中提供了潜在的可视化优势.
研究的目的:
- 评估VDLT对进行胸部手术的患者输管相关并发症的影响.
- 为了比较DLT和VDLT组之间的气管和声带损伤的发生率.
主要方法:
- 进行了一项随机对照试验,其中182名患者接受了胸部手术,需要单肺通风.
- 患者被分配到DLT组 (n=90) 或VDLT组 (n=92).
- 气管和声带损伤使用光纤支气管镜进行评估;术后症状被记录下来.
主要成果:
- 在中度至严重的气管损伤 (35.6% DLT vs 48.9% VDLT,P=0.077) 或声带损伤 (34.4% DLT vs 37% VDLT,P=0.449) 中没有发现统计学意义上的差异.
- 手术后喉疼痛 (P=0.032) 和声 (P=0.018) 的发生率在24小时后在VDLT组显著更高.
- VDLT改善了第一次试管成功率.
结论:
- 在预防中度至严重的气管或声带损伤方面,VDLT与DLT没有显著的优势.
- 尽管在输管成功方面有潜在的好处,但VDLT与术后喉痛和声的风险增加有关.
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