[1]蒋波 俞鹏翼 沈江① 朱磊君① 杨晨 张蕾**.免气管插管和双腔气管插管胸腔镜肺大疱切除术的对比研究[J].中国微创外科杂志,2018,18(11):1003-1006.
　Jiang Bo*,Yu Pengyi*,Shen Jiang,et al.Thoracoscopic Bullectomy by Nonintubated or Intubated Anesthesia: a Comparative Analysis of Clinical Effects[J].Chinese Journal of Minimally Invasive Surgery,2018,18(11):1003-1006.
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免气管插管和双腔气管插管胸腔镜肺大疱切除术的对比研究()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
18
期数:
2018年11期
页码:
1003-1006
栏目:
临床研究
出版日期:
2018-11-20

文章信息/Info

Title:
Thoracoscopic Bullectomy by Nonintubated or Intubated Anesthesia: a Comparative Analysis of Clinical Effects
作者:
蒋波 俞鹏翼 沈江① 朱磊君① 杨晨 张蕾**
（苏州大学附属第三医院胸外科，常州213003）
Author(s):
Jiang Bo*;  Yu Pengyi*;  Shen Jiang;  et al.
*Department of Cardiothoracic Surgery, Third Affiliated Hospital of Soochow University, Changzhou 213003, China
关键词:
气管插管; 肺大疱切除术; 胸腔镜; 快速康复
Keywords:
Intubation; Bullectomy; Thoracoscopy; Fast recovery
文献标志码:
A
摘要:
目的对比免气管插管和传统双腔气管插管胸腔镜肺大疱切除术的安全性和可行性。方法2016年6月~2018年5月，行免气管插管胸腔镜肺大疱切除术50例（免管组），同期行全麻双腔气管插管胸腔镜肺大疱切除术50例（插管组），2组术前临床资料差异无统计学意义，比较2组麻醉和手术指标。结果2组均顺利完成手术，与插管组比较，免管组术前麻醉准备时间短［(17.6±3.0)min vs. (41.5±5.4)min, t=27.130,P=0.000］，术后苏醒时间短［(22.0±4.0)min vs. (40.6±6.0)min, t=18.330, P=0.000］，胸管引流时间短［(22.3±5.5) h vs. (24.6±4.3) h, t=2.328, P=0.022］，术后住院时间短［(2.2±07) d vs. (2.8±0.4) d, t=4.681, P=0.000］，麻醉费用少［(1896.0±310.5) 元 vs. (3734.0±3593) 元, t=27.370, P=0.000］。结论免气管插管的胸腔镜肺大疱切除术具有安全、便捷的优点，可以减少麻醉副作用，缩短住院时间，降低医疗费用，符合快速康复理念。
Abstract:
ObjectiveTo explore the safety and clinical efficacy of nonintubated thoracoscopic bullectomy.MethodsWe retrospectively analyzed clinical data of 50 patients who underwent nonintubated thoracoscopic bullectomy in our hospital from June 2016 to May 2018. Meanwhile 50 patients underwent thoracoscopic bullectomy with tranditional intubated anesthesia as control group. There was no statistical difference in preoperative clinical data of the patients between the two groups. Surgical and anesthetic indexes of two groups were compared.ResultsAll the operations were successfully completed. Compared with the control group, patients in the nonintubated group had shorter duration of anesthesia induction time ［(17.6±3.0) min vs. (41.5±5.4) min, t=27.130, P=0.000］, shorter awake time ［(22.0±4.0) min vs. (40.6±6.0) min, t=18.330, P=0.000］, shorter duration of chest drainage ［(22.3±5.5) h vs. (24.6±4.3) h, t=2.328, P=0.022］, shorter postoperative hospital stay ［(2.2±0.7) d vs. (2.8±0.4) d, t=4.681, P=0.000］, and less anesthesia costs ［(1896.0±310.5) RMB vs. (3734.0±359.3) RMB, t=27.370, P=0000］.ConclusionNonintubated thoracoscopic bullectomy is technically feasible and safe with reduced complications, less medical cost and shorter hospital stay, which fits the idea of fast recovery.

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备注/Memo

备注/Memo:
＊基金项目：常州市卫生局科研项目（ZD201206）**通讯作者，Email：xwkzhanglei@163.com①麻醉科
更新日期/Last Update: 2019-03-01