| 王 璐,季涛涛.颌下入路口腔气管插管在颌骨骨折手术中的应用效果分析[J].中国烧伤创疡杂志,2023,(5):359~362. |
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| 中文关键词: 颌骨骨折 颌下入路口腔气管插管 麻醉 血氧 呼吸功能 血流动力学 |
| 英文关键词:Jaw fracture Submandibular-approach orotracheal intubation Anesthesia Blood oxygen Respiratory function Hemodynamics |
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| 中文摘要: |
| 【摘要】 目的 分析探讨颌下入路口腔气管插管在颌骨骨折手术中的应用效果。方法 选取 2020 年 1 月至2021 年 6 月河南科技大学第一附属医院收治的 80 例颌骨骨折患者作为研究对象, 按照随机数表法将其随机分为研究组 (40 例) 和对照组 (40 例), 研究组患者于颌下入路口腔气管插管全身麻醉下行切开复位内固定术, 对照组患者于经鼻气管插管全身麻醉下行切开复位内固定术, 对比观察两组患者围手术期动脉血氧分压、 动脉血二氧化碳分压、 平均动脉压、心率以及不良事件发生情况。 结果 插管后即刻、拔管前及拔管后即刻, 研究组患者动脉血氧分压均明显高于对照组 (t = 5.450、 5.163、3.867, P 均 < 0.001)、动脉血二氧化碳分压均明显低于对照组 (t = 5.496、 5.871、4.088, P 均 < 0.001); 插管后即刻及拔管后即刻, 研究组患者平均动脉压及心率均明显低于对 照 组 ( 平 均 动 脉 压: t = 3.605? 2.492, P = 0.001? 0.015; 心 率: t = 3.018、2.159, P = 0.003、0.034); 研究组患者不良事件发生率为 2.5% , 明显低于对照组患者的不良事件发生率 22.5% ( χ2= 7.314, P =0.007)。 结论 颌下入路口腔气管插管可改善颌骨骨折手术患者围手术期血氧水平, 维持正常呼吸功能及血流动力学稳定性, 安全性较高, 值得临床推广应用。 |
| 英文摘要: |
| 【Abstract】 Objective To analyze the application effect of submandibular approach for orotracheal intubation in the operation of patients with jaw fracture. Methods 80 patients with jaw fracture admitted into The First Affiliated Hospital of Henan University of Science and Technology between January 2020 and June 2021 were enrolled as research subjects, and then divided into study group (n = 40) and control group ( n = 40) using the random number table. Patients in the study group were given the open reduction and internal fixation under general anesthesia by submandibular-approach orotracheal intubation, while patients in the control group underwent the open reduction and internal fixation under general anesthesia by nasotracheal intubation. The arterial partial pressure of oxygen, arterial partial pressure of carbon dioxide, mean arterial pressure, heart rate and occurrence of adverse reactions of patients during the perioperative period were observed and compared between the two groups. Results Immediately after intubation, before extubation and immediately after extubation,the arterial partial pressures of oxygen of patients were obviously higher in the study group compared with the control group(t = 5.450, 5.163 and 3.867 respectively, all P < 0.001), and the arterial partial pressures of carbon dioxide of patients in the study group were markedly lower than that in the control group ( t = 5.496, 5.871 and 4.088 respectively, all P < 0.001). Immediately after intubation and after extubation, the mean arterial pressures and heart rates of patients in the study group were all significantly lower than that in the control group (mean arterial pressure: t = 3.605 and 2.492, P = 0.001 and 0.015; heart rate: t = 3.018 and 2.159, P = 0.003 and 0.034). The incidence of adverse reactions of patients was 2.5% in the study group, being obviously lower than the corresponding 22.5% of patients in the control group ( χ2=7.314, P = 0.007). Conclusion The submandibular-approach orotracheal intubation can improve the perioperative levels of blood oxygen of patients with jaw fracture, maintain their normal respiratory function and hemodynamic stability, presenting high surgical safety. |
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