Comparison Of Clinical Effects Between Non-tracheal Intubation And Endotracheal Intubation In The Treatment Of Bullous Bullectomy

OBJECTIVE: To compare the clinical outcomes of the two groups with thoracoscopic bullous resection under endotracheal intubation anesthesia with spontaneous breathing and non-tracheal intubation.METHODS: Patients with bullous bullae who were diagnosed and treated at Anqing City Hospital from September 2017 to June 2018 were randomly selected for tracheal intubation anesthesia and non-tracheal intubation anesthesia,and underwent thoracoscopic bullous resection.Perioperative clinical data of the two groups were collected,including: duration of surgery,intraoperative blood loss,postoperative ground time,postoperative pain score,postoperative hospital stay,and average total cost of treatment.RESULTS: The non-tracheal intubation group was lower than the tracheal intubation group at Wake up time,1 day postoperative pain score,postoperative ground time,chest tube retention time,postoperative hospital stay,and average hospitalization cost(P<0.05).There was no significant difference in the operation time and intraoperative blood loss(P>0.05).Conclusion: Non-tracheal intubation with spontaneous breathing is feasible in thoracoscopic bullous resection under general anesthesia.It has certain advantages,can reduce hospitalization time,reduce hospitalization costs,and meet the current concept of rapid rehabilitation.