中国医科大学学报

中国医科大学学报
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中国医科大学学报 ›› 2019, Vol. 48 ›› Issue (3): 269-273.doi: 10.12007/j.issn.0258-4646.2019.03.016

• 论著 • 上一篇    下一篇

左侧双腔支气管导管插管深度与特定体表标志的相关性

时鹏, 刘世庆, 吴秀英   

  1. 中国医科大学附属盛京医院麻醉科, 沈阳 110004
  • 收稿日期:2018-01-05 出版日期:2019-03-30 发布日期:2019-03-06
  • 通讯作者: 吴秀英 E-mail:wuxy@sj-hospital.org
  • 作者简介:时鹏(1991-),女,医师,硕士研究生.

Correlation between the Depth of the Left-Sided Double-Lumen Tube and Specific Body Landmarks

SHI Peng, LIU Shiqing, WU Xiuying   

  1. Department of Anesthesiology, Shengjing Hospital, China Medical University, Shenyang 110004, China
  • Received:2018-01-05 Online:2019-03-30 Published:2019-03-06

摘要: 目的 探讨左侧双腔支气管导管(DLT)插管深度与人体某些特定体表标志的相关性,为左侧DLT插管提供指导。方法 选择行胸科手术的95例成年患者,记录患者的性别(S)、年龄(A)、身高(H)、体质量(W)、环甲膜-胸骨角上切迹的距离(L)、导管型号(F)及预计插管深度(y)。患者麻醉诱导后,插入左侧DLT,应用纤维支气管镜确认最佳导管位置,并记录插管深度(Y)。比较预计插管深度与纤维支气管镜下实际插管深度的差异。应用线性回归和Pearson相关分析检验数据。结果 预计左侧DLT插管深度与纤维支气管镜下实际插管深度无差异(P > 0.05)。左侧DLT插管深度与身高、体质量、环甲膜-胸骨角上切迹的距离显著相关(P < 0.01),与年龄无相关性(P > 0.05)。身高和环甲膜-胸骨角上切迹的距离与左侧DLT插管深度的线性回归方程分别是Y=7.285+0.128H(确定系数R2=0.43)和Y=19.305+0.866L(确定系数R2=0.41),以H和L同时作为自变量的线性回归方程是Y=8.127+0.087H+0.559L(确定系数R2=0.56),较前二者线性拟合度更优。结论 以身高、环甲膜-胸骨角上切迹的距离和左侧DLT插管深度得出的线性回归方程Y=8.127+0.087H+0.559L,可作为左侧DLT插管时一种快速评估插管深度的手段,但是DLT最终的最优位置仍需要借助纤维支气管镜进行确认。

关键词: 左侧双腔支气管导管, 插管深度, 体表标志

Abstract: Objective To investigate the correlation between the insertion depth of the left-sided double-lumen tube (DLT) and some specific body landmarks in order to guide left-sided DLT intubation. Methods Ninety-five adult patients who underwent thoracic surgery were chosen,and the age (A),sex (S),height (H),weight (W),distance between the cricothyroid membrane and upper notch of the sternum angle (L),size of the left-sided DLT (F),and predicted depth of intubation (y) were recorded. After anesthesia induction,the final corrected insertion depth of the left-sided DLT (Y) were recorded using fiberoptic bronchoscopy. The Y and y were compared. Linear regression and Pearson's correlation analysis were used to analyze the data. Results There was no difference between the Y and y (P > 0.05). The Y was significantly correlated with H,W,and L (P < 0.01),and was not correlated with A (P > 0.05). Three linear regression equations for H,L,and Y were obtained. H and L were linearly dependent on Y,and the determination coefficients R2 were 0.43 (Y=7.285+0.128H) and 0.41 (Y=19.305+0.866L),respectively. Using both H and L as the independent variables,the determination coefficient R2 was 0.56 (Y=8.127+0.087H+0.559L). Conclusion The linear regression equation Y=8.127+0.559H+0.087L could be used as a rapid method to assess the insertion depth of the left-sided DLT. However,the ideal insertion depth of the left-sided DLT still needs to be confirmed using fiberoptic bronchoscopy.

Key words: left-sided double-lumen tube, insertion depth of intubation, body landmaker

中图分类号: 

  • R614.2
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