Perioperative Oxygenation Index Of Total Thoracoscopic Lobes And Underarm Small Incisionlobectomy

objective : The purpose of this study was to compare two different surgical methods.That is,the fluctuation of oxygenation index during the perioperative period,1 week before the operation,1 day after the operation,3 days after the operation,and 7 days after the operation in total thoracoscopic and subaxillary small incision lobectomy.The indirect study responded to the recovery of postoperative pulmonary function in patients with different time periods.methods: Clinical cases of unilateral lobectomy in the hospital from Qinghai University Affiliated Hospital from September 2017 to September 2018 were collected.A total of 77 cases were screened according to the inclusion criteria and exclusion criteria.According to the different surgical methods,37 patients were divided into complete thoracoscopic group and 40 patients underwent small incision group.Both groups were tested for other related tests and examinations.Perioperative period,1 week before surgery,1 day after surgery,3 days after surgery,and 7 days after surgery,the left iliac artery blood or right iliac artery blood was taken for arterial blood gas analysis.After blood gas analysis,the patient’s oxygen partial pressure value was collected and recorded,and the patient’s oxygen intake and oxygen concentration during oxygen inhalation were recorded.The formula was used to calculate the patient’s oxygenation index and record.Blood gas needle is safePICO arterial blood gas needle,blood gas meter brand is Redou model ABL90 FLEX.All clinical data of different surgical procedures were collated separately,and statistical analysis was performed using SPSS 17.0 statistical software.result:Statistical analysis of perioperative oxygenation index in the two groups.Preoperative total thoracoscopy group oxygenation index(449.54±27.09),subgingival small incision group oxygenation index(444.68±24.39)preoperative two groups of oxygen.On the first day after operation,the oxygenation index(412.11±31.78)and the small incision group oxygenation index(391.58±33.39)were observed in the whole thoracic cavity.The oxygenation index of the two groups was larger,P<0.05.Statistical analysis is statistically significant.After 3 days,the oxygenation index(433.35±32.34)in the total thoracoscopy group and the oxygenation index(417.53±32.54)in the small incision group under the armpit group.The oxygenation index of the two groups was larger,P<0.05.Statistical analysis was statistically significant.On the 7th day after operation,the total oxygenation index(437.65±34.88)and the small incision oxygenation index(434.10±28.17)were observed.The difference of oxygenation index between the two groups was small,P>0.05 statistical analysis.Not statistically significant.There were no statistically significant differences between the two groups in the different surgical groups,before and 7 days after surgery.The thoracoscopy group did not have statistical significance on the 3rd day after surgery and the 7th day after surgery.The other groups were statistically significant.Conclusion: 1.Compared with the two groups of experiments,the oxygenation index can reflect the actual lung function more than the blood gas analysis.On the first day after surgery,the oxygenation index of both groups decreased,which was related to various factors such as surgical incision,pain,chest drainage tube extraction time and bedtime.2.Total thoracoscopic lobectomy has better advantages than small incision,less pain,quick recovery,good curative effect,beautiful incision and quick recovery of lung function in patients.