摘要目的 观察一种气管导管固定技术在俯卧位脊柱侧凸矫形术麻醉中应用的效果.方法 将60例脊柱侧凸矫形术患者随机分为2组,导管固定组(A组,n=30)及常规方法 组(B组,n=30).A组行加强钢丝气管导管插管成功后,将导管放置正中,用食指推开舌体,用无菌绷带围绕气管导管进行填塞至门齿内侧,留5 cm绷带于口外,3 L输液贴膜穿过气管导管后固定于口部周围.B组常规固定导管.结果 A组胶带干燥且固定良好,而B组浸湿并松动.A组导管固定后在口内笔直无弯曲,头位改变移动度(8±3)mm.B组在口内有弯曲,移动度(26±4)mm.结论 采用自创气管导管固定技术防止脊柱手术中体位改变和术中唤醒造成的气管导管脱出,操作简单价廉且提高了麻醉的安全性.

abstractsObjective To evaluate the efficacy and feasibility of our original fixation technique of endotracheal tube (ETT) for scohosis correction in prone position. An ETT must be fixed and strong to prevent unplanned extubations in patients with scoliosis undergoing posterior scoliosis correction including intraoporative wake-up test. Methods Sixty patients scheduled for scoliosis correction were randomly divid-ed into two groups. Our original fixation method for securing ETT in group A. When we had finished endotra-cheal intubation. A sterile bandage was plugg into the patients mouth around the endotracheal tube to the trim of cutting teeth and 5era bandage's extremity was left out of the patients' mouth. And then fixed the tube with adhesive tape. The fixation technique of ETr will be used in group B. Results The plaster was dry and flexed in group B. The moving length of ETT associated with change of head position was (8±3) mm and (26±4) mm in the two groups,respectively. Conclusion A good estimation of the time and quality of fLxa-tion can be achieved in group A in which our original method was applied.