|
| 可视喉镜与直接喉镜在双腔支气管插管中的应用 |
| Comparison of application of videolaryngoscope and Macintosh laryngoscope in double-lumen endobronchial intubation |
| |
| DOI：10.12089/jca.2018.01.006 |
| 中文关键词: 可视喉镜 直接喉镜 双腔支气管插管 插管反应 |
| 英文关键词: Videolaryngoscope Macintosh laryngoscope Double-lumen endobronchial intubation Intubation responses |
| 基金项目: |
|
| 摘要点击次数: 3585 |
| 全文下载次数: 1621 |
| 中文摘要: |
| 目的 观察比较可视喉镜与直接喉镜在双腔支气管插管中的临床效果,探讨两者在双腔支气管插管中的应用价值。方法 选择择期需行双腔支气管插管的胸外科手术患者80例,男50例,女30例,年龄18～70岁,ASA Ⅰ～Ⅲ级,将患者随机分为两组:可视喉镜组和直接喉镜组,每组40例,分别使用可视喉镜和直接喉镜行双腔支气管插管。观察比较两组声门显露(C-L)分级、插管时间、第一次插管成功率、插管反应阳性例数和术后24 h咽喉痛发生率;监测患者入室后(T0)、诱导后插管前1 min(T1)、插管后1 min(T2)、2 min(T3)、3 min(T4)MAP、HR;记录口腔损伤出血情况以及气管壁及隆突损伤情况。结果 与可视喉镜组比较，直接喉镜组声门显露C-L分级和第一次插管成功率明显升高，插管时间明显缩短，插管反应阳性发生率和术后24 h咽喉痛发生率明显降低(P<0.05)。两组口腔损伤出血情况及气管壁及隆突损伤情况差异无统计学意义。T2、T3时两组MAP明显低于T1时,且T2、T3时直接喉镜组MAP明显低于可视喉镜组(P<0.05)。结论 与可视喉镜比较,对无预计困难气道的患者,直接喉镜更适用于双腔支气管插管。 |
| 英文摘要: |
| Objective To explore the application value of videolaryngoscope and Macintosh laryngoscope in double-lumen endobronchial intubation. Methods Eighty patients (50 males, 30 females, aged 18-70 years, ASA grade Ⅰ-Ⅲ) of both sexes,scheduled for thoracic surgery and double-lumen endobronchial intubation were randomly divided into two groups using a random number table: videolaryngoscope group and Macintosh laryngoscope group. The intubation time, the success rate of intubation,the views of glottis,the hemodynamics during the first 4 minutes of intubation, the number of positive responses to intubation and the incidence of pharyngalgia at 24 h after the operation were observed and compared between the two groups, the condition of oral hemorrhage and the injury of the tracheal walls were recorded as well. Results Compared with videolaryngoscope group , the C-L grade and the success rate of the first intubation of Macintosh laryngoscope group was significantly higher , the intubation time of Macintosh laryngoscope group was significantly shorter (P<0.05). In addition,the positive cases of responses to intubation and the incidence of pharyngalgia at 24 h after the operation of Macintosh laryngoscope group were obviously less than those of videolaryngoscope group (P<0.05). There was no significant difference between the two groups of oral injury bleeding and the injury of tracheal wall and protuberance. At T2， T3, the two groups of MAP were significantly lower than that of T1, and the MAP of videolaryngoscope group was significantly lower than that of t Macintosh laryngoscope group at T2, T3 (P<0.05). Conclusion Compared with videolaryngoscope, Macintosh laryngoscope is more suitable for the double-lumen endobronchial intubation in patients predicted without difficulty in intubating. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
