用不同的气道装置隔离肺部对经视频辅助胸腔镜手术的患者手术后肺炎的影响:一项倾向性得分匹配的研究
Hongyi Xiao1, Huan Zhang1, Jiying Pan2
1Department of Anesthesiology, Weifang People's Hospital, Kuiwen District, No. 151 Guangwen Street, Weifang, 261041, China.
BMC pulmonary medicine
|April 4, 2024
概括
在视频辅助胸腔镜手术 (VATS) 期间用于肺隔离的不同气道装置没有显著影响术后肺炎的发生率. 这项研究比较了喉口罩与支气管阻塞剂,气管与支气管阻塞剂以及双光内支气管方法.
科学领域:
- 胸部外科手术 胸部外科手术
- 麻醉学 麻醉学
- 肺部医学 肺部医学
背景情况:
- 手术后的肺炎是视频辅助胸腔镜手术 (VATS) 后的常见并发症.
- 关于不同用于肺部隔离的气道装置如何影响术后肺炎发病率的研究有限.
- 这项研究追溯调查了各种肺隔离技术对VATS患者手术后肺炎的影响.
研究的目的:
- 在VATS中比较不同肺部隔离方法中术后肺炎的发病率.
- 评估肺隔离技术对住院时间和费用的影响.
主要方法:
- 一个单一中心的回顾性研究,利用倾向性得分匹配 (PSM).
- 接受VATS的患者被分为三个组:喉罩+支气管阻塞剂 (LM+BB),气管+支气管阻塞剂 (TT+BB) 和双光膜内支气管 (DLT).
- 主要结局:手术后7天内肺炎发生率. 二次结果:住院时间和费用.
主要成果:
- 在LM+BB,TT+BB和DLT组中,PSM分析没有发现术后肺炎发病率或住院时间的显著差异 (P > 0.05).
- 在这三组人群中,医院住院费用有显著差异 (P < 0.05).
结论:
- 在VATS中选择用于肺隔离的气道装置不会显著影响患上术后肺炎的风险.
- 在研究的不同肺隔离方法之间,住院费用差异很大.
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