規(guī)范化體位管理在ERCP氣管插管靜脈麻醉時(shí)的應(yīng)用效果

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中圖分類號(hào)R473.6 文獻(xiàn)標(biāo)識(shí)碼A 文章編號(hào) 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

經(jīng)內(nèi)鏡逆行性膽胰管造影術(shù)是指將十二指腸鏡經(jīng)口腔、食道插至十二指腸降部并找到十二指腸乳頭，然后由活檢管道插人造影導(dǎo)管至乳頭開口部并注入造影劑以顯示胰膽管的技術(shù){]，這已然是胰膽疾病重要的診治方法，其臨床效果顯著，具有創(chuàng)傷小、住院時(shí)間短等特點(diǎn)[2。（剩余4151字）