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| 光棒在困难气道患者经鼻气管插管中的应用 |
| Application effect of lightwand during nasotracheal intubation in patients with difficult airways |
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| DOI：10.12089/jca.2018.12.015 |
| 中文关键词: 光棒 经鼻气管插管 困难气道 纤维支气管镜 |
| 英文关键词: Lightwand Nasotracheal intubation Difficult airway Fibrobronchoscopy |
| 基金项目:江苏省卫计委“科教强卫工程”医学青年人才项目 (QNRC2016117) |
| 作者 | 单位 | E-mail | | 丁皓月 | 210008,南京大学医学院附属口腔医院,南京市口腔医院麻醉科 | | | 房方方 | 210008,南京大学医学院附属口腔医院,南京市口腔医院麻醉科 | | | 赵保建 | 210008,南京大学医学院附属口腔医院,南京市口腔医院麻醉科 | | | 李宦臻 | 210008,南京大学医学院附属口腔医院,南京市口腔医院麻醉科 | | | 董迎春 | 210008,南京大学医学院附属口腔医院,南京市口腔医院麻醉科 | dongyingchun1001@hotmail.com |
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| 中文摘要: |
目的 探讨光棒在困难气道患者经鼻气管插管中的应用效果。
方法 选取困难气道且拟行经鼻气管插管患者131例,男62例,女69例,年龄18～60岁, ASA Ⅰ或Ⅱ级, 采用随机数字表法分为纤维支气管镜组(F组, n=66)和光棒组(L组, n=65)。比较两组插管成功率、插管时间及术后插管并发症发生率。
结果 与F组比较, L组第一次插管成功率［54(83.1％) vs 57(86.4％)］差异无统计学意义,第一次插管时间明显延长 ［(106.9±29.8)s vs (94.6±26.9)s, P<0.05］;第二次插管成功率［7(63.6％) vs 4（44.4％)］差异无统计学意义,插管时间明显缩短［(107.1±21.5)s vs (137.3±19.5)s, P<0.05］;插管总成功率［61(92.4％) vs 61(93.8％)］差异无统计学意义。两组患者术后并发症的发生率差异均无统计学意义。
结论 光棒引导是困难气道患者行经鼻气管插管时的有效技术, 可以作为一个应急工具。 |
| 英文摘要: |
Objective To explore the clinical value of lightwand during nasotracheal intubation in patients with difficult airways.
Methods One hundred and thirty-one patients with difficult airways who underwent nasotracheal intubation, aged 18 - 60 years, falling into ASA physical status Ⅰ or Ⅱ, were randomly divided into fibrobronchoscopy group (group F, n = 66) and lightwand group (group L, n = 65) using random digital table. The success rate of intubation, the intubation time, and the postoperative complications of intubation were recorded.
Results Compared to group F, the first-time success rate of intubation in group L was not significantly different ［54(83.1％) vs 57(86.4％)］, and the first intubation time was significantly longer in group L ［(106.9±29.8) s vs (94.6±26.9) s, P < 0.05］; the second-time success rate of intubation in group L was not significantly different ［7(63.6％) vs 4(44.4％)］ and the second intubation time was significantly shorter in group L ［(107.1 ± 21.5) s vs (137.3 ± 19.5) s, P < 0.05］; the total success rate of intubation in group L was not significantly different ［61(93.8％) vs 61(92.4％)］. There were no significant differences in the incidence rates of complications between the two groups.
Conclusion Lightwand intubation is an effective technique during nasotracheal intubation in difficult airway and may be a substitute when fibrobronchoscopy is absent. |
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