规范化体位管理在ERCP气管插管静脉麻醉时的应用效果
打开文本图片集
中图分类号R473.6 文献标识码A 文章编号 1671-0223（2025）16-1239-04
Application effct of standardized posture managementduring endotracheal intubation and intravenous anesthesia in ERCPJiangXiufang，LiuAihua.TheFirstPeople'sHospitalofTai'anCityTaian271ooo，China
【Abstract】ObjectiveToexplore theapplication effectofstandardized posture management inendotracheal intubationunder intravenousanesthesiaduringendoscopicretrogradecholangiopancreatography（ERCP）MethodsAtotalof7Opatientswho underwent ERCPwith endotracheal intubation anesthesia inour hospital from July 2023 to August 2024 were selected as theresearch objects.They were divided intoacontrol groupandanobservation group acording to the principleof matching genderand age between groups，with 35 cases in each group，using arandom number table method.The control group received routine nursing，while the observation group implemented standardized posture management on the basis of routine nursing. Thetimeof preoperativeposture placement，thesucessrateofone-time intubation，theincidenceofposture-relatedadverse reactions during the operation，and the satisfaction of medical and nursing teams were compared between the two groups. Results After theimplementationofstandardized posture management，the timeof posture placement in theobservation group wasshorterthanthatinthecontrol groupandthesatisfactionofmedicalstaffwas higherthanthatinthecontrolgroup，with statistically significant differences （P<0.05） ;The success rate of one-time intubation in the observation group was higher than that in the control group，with a statistically significant difference （P<0.05） ;The incidence of adverse events in the observation group was lower than that in the control group，with a statistically significant difference（ （P<0.05） .Conclusion The application of standardized posture management under intravenous anesthesia with endotracheal intubation inERCP surgerycanshorten the timeof preoperativeposture placement，improvethesuccessrateof intubationand thesatisfactioofmedicalstaffeduce theincidenceofintraoperativeposture-relatedadversereactionsfacilitatedoctors'operationsandachievegoodefetsonthe success of the surgery and the safety of patients.
【Keywords】Standardizedposturemanagement;ERCP;Endotrachealintubation;Intravenousanesthesia;Aplicatioefect
经内镜逆行性胆胰管造影术是指将十二指肠镜经口腔、食道插至十二指肠降部并找到十二指肠乳头，然后由活检管道插人造影导管至乳头开口部并注入造影剂以显示胰胆管的技术{]，这已然是胰胆疾病重要的诊治方法，其临床效果显著，具有创伤小、住院时间短等特点[2。（剩余4151字）
