传统方法与纤维支气管镜在双腔支气管导管插管中的应用效果对比研究OA
Comparative Study on the Application Effect of Traditional Methods and Fiberoptic Bronchoscopy in Double Lumen Endotracheal Intubation
目的:对比传统方法与纤维支气管镜在双腔支气管导管插管中的应用效果.方法:选取自 2024 年 1 月—2025 年 9 月在贵州省普安县人民医院接受双腔支气管导管插管术的 90 例患者为研究对象,采用单双号法将其分为两组,45 例分到单号者纳入对照组,采用传统听诊法进行双腔支气管导管插管,45 例分到双号者纳入观察组,采用纤维支气管镜定位下双腔支气管导管插管,比较两组插管相关指标.结果:观察组首次尝试即成功置管的比例、导管尖端定位的正确率高于对照组,观察组确认导管位置所需时长、完成插管操作所用时间短于对照组;观察组插管过程相关的不良事件发生率低于对照组,上述差异均有统计学意义(P<0.05).结论:与传统听诊法比较,纤维支气管镜在双腔支气管导管插管中的应用效果更佳,不仅能提高患者一次性插管成功率和导管位置的准确性,缩短其导管定位和插管时间,还能保障其插管的安全性.
Objective:To compare the application effects of traditional methods and fiberoptic bronchoscopy in double lumen endotracheal intubation.Method:A study was conducted on 90 patients who underwent double lumen endotracheal intubation at Pu'an County People's Hospital in Guizhou Province from January 2024 to September 2025.They were divided into two groups using the single and double number method.45 patients who were assigned to a single number were included in the control group using traditional auscultation.Those who were assigned to a double number were included in the observation group,the double lumen endotracheal intubation was performed using fiberoptic bronchoscopy positioning,and the relevant indicators of the two groups were compared.Result:The proportion of successful catheterization in the observation group and the accuracy of catheter tip positioning was higher than the control group.The time required for the observation group to confirm the catheter position and the time required to complete the intubation operation were shorter than the control group.The incidence of adverse events related to the intubation process in the observation group was lower than that in the control group.The above differences were all statistically significant(P<0.05)Conclusion:Compared with traditional auscultation,the application effect of fiberoptic bronchoscopy in double lumen endotracheal intubation is better.It can not only improve the success rate of one-time intubation and the accuracy of catheter position in patients,shorten the catheter positioning and intubation time,but also ensure the safety of intubation.
张成
贵州省普安县人民医院 贵州 普安 561500
传统方法纤维支气管镜双腔支气管导管插管
Traditional methodsFiberoptic bronchoscopyDouble lumen endotracheal intubation
《中外医学研究》 2026 (21)
46-48,52,4
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