Department of Anesthesiology, The Second Xiangya Hospital, Central South University, Changsha, Hunan Province, China.
Department of Thoracic Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan Province, China.
Int J Med Sci. 2022 Sep 25;19(11):1706-1714. doi: 10.7150/ijms.75835. eCollection 2022.
The aim of this study is to compare the effect of bronchial blockers (BB) and double-lumen tubes (DLT) on patients' postoperative recovery after lung resection. 4,636 patients undergoing lung resection and receiving either BB or DLT intubation were reviewed and matched using the propensity score matching method. The primary outcome was the surgical duration. The secondary outcomes included diagnostic results of postoperative chest X-ray, postoperative oxygenation index, incidence of hypercapnia, hypoxemia and sore throat, chest tube duration, incidence of ICU admission, length of hospital stay and incidence of the 30-day readmission. After matching, 401 patients receiving BB were matched to 3,439 patients receiving DLT. There was no statistical difference on the surgical duration between the two groups (P>0.05). However, compared with the DLT group, patients in the BB group showed more infiltrate especially at the surgery side (14.96% versus 9.07%, P<0.001) based on the chest X-ray, together with higher incidence of ICU admission (5.23% versus 2.61%, P<0.05). Additionally, no statistical differences were found between the two groups about chest tube duration, oxygenation index, incidence of hypercapnia, hypoxemia and sore throat, duration of surgery, hospital stays and 30-day readmission (P>0.05). Compared with the DLT, patients receiving BB technique tend to have increased pulmonary infiltrate (especially the surgery side) and higher incidence of ICU admission at the early post-operative stage, which may have an influence on the patients' recovery.
本研究旨在比较支气管阻塞器（BB）和双腔管（DLT）对肺切除术后患者恢复的影响。回顾了 4636 例接受肺切除手术并接受 BB 或 DLT 插管的患者，并使用倾向评分匹配法进行匹配。主要结局是手术时间。次要结局包括术后胸部 X 线检查的诊断结果、术后氧合指数、高碳酸血症、低氧血症和咽痛的发生率、胸腔引流管持续时间、ICU 入住率、住院时间和 30 天再入院率。匹配后，401 例接受 BB 的患者与 3439 例接受 DLT 的患者相匹配。两组手术时间无统计学差异（P>0.05）。然而，与 DLT 组相比，BB 组患者的胸部 X 线显示更多浸润，尤其是手术侧（14.96%比 9.07%，P<0.001），同时 ICU 入住率更高（5.23%比 2.61%，P<0.05）。此外，两组胸腔引流管持续时间、氧合指数、高碳酸血症、低氧血症和咽痛发生率、手术时间、住院时间和 30 天再入院率无统计学差异（P>0.05）。与 DLT 相比，接受 BB 技术的患者在术后早期更易出现肺部浸润（尤其是手术侧）和更高的 ICU 入住率，这可能会影响患者的恢复。
