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| 无管芯环状弯曲气管导管在患儿气管插管中的应用效果 |
| Application of ring-shaped bending tracheal tubes in pediatric intubation without stylet |
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| DOI：10.12089/jca.2019.10.004 |
| 中文关键词: 导管芯 气管插管 患儿 |
| 英文关键词: Stylet Trachea intubation Children |
| 基金项目: |
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| 中文摘要: |
目的 观察无管芯环状弯曲气管导管用于患儿气管插管的效果。
方法 择期全麻气管插管下完成整形外科手术患儿105例,男88例,女17例,年龄4～12岁,ASA Ⅰ或Ⅱ级,按气管导管的弯曲方式随机分成三组,每组35例:环状弯曲组(RB组)、自然弯曲组(NB组)和管芯弯曲组(SB组)。记录声门暴露时间、插管时间、插管次数、一次插管成功情况、插管后喉镜片是否带血;记录术后2 h咽喉部并发症的发生情况。
结果 三组声门暴露时间差异无统计学意义。NB组插管时间明显短于SB组［(22.7±13.6)s vs (25.2±10.6)s,P＜0.05］。SB组全部一次完成气管插管,RB组和NB组分别有2例(6％)和8例(23％)需要第二次完成气管插管。RB组一次插管成功率明显高于NB组(94.3％ vs 77.1％,P＜0.05)。RB组和NB组各有1例喉镜有血,SB组无一例喉镜有血。SB组有9例(26％)术后咽部疼痛,明显多于RB组的2例(6％)和NB组的1例(3％)(P＜0.05)。
结论 无管芯环状弯曲气管导管可相对提高患儿首次插管成功率,术后咽部不适明显减少,是一种安全便捷有效的插管方式。 |
| 英文摘要: |
Ojective To observe the effect of ring-shaped bending tubes without stylet for tracheal intubation in pediatric patients.
Methods A total of 105 plastic surgery children undergoing selective surgery of tracheal intubation under general anesthesia, 88 males and 17 females, aged 4-12 years, falling into ASA physical status Ⅰ or Ⅱ, were randomly divided into ring shaped bending group (group RB), natural bending group (group NB) and stylet bending group (group SB), n = 35 in each group. Then time of glottis exposure, time of intubation, number of intubations, success rate of one attempt intubation, and blood on laryngoscope lens after intubation were recorded. The incidence of throat complications at 2 hours postoperatively was also recorded.
Results There was no statistically significant difference in time of glottis exposure between the three groups. The time of intubation was significantly shorter in group NB than in group SB ［(22.7 ± 13.6) s vs (25.2 ± 10.6) s, P ＜ 0.05］. All patients in group SB completed endotracheal intubation once, 2 cases (6％) in group RB and 8 cases (23％) in group NB needed to complete endotracheal intubation twice, respectively. The success rate of one attempt intubation was significantly higher in group RB than in group NB (94.3％ vs 77.1％, P ＜ 0.05). One case was seen to have blood in laryngoscopy in group RB and group NB, and there was no blood in laryngoscopy in group SB. There were 9 cases (26％) of postoperative pharyngeal pain in group SB, significantly more than 2 cases (6％) in group RB and 1 case (3％) in group NB (P ＜ 0.05).
Conclusion Ring-shaped bending tubes without stylet can relatively raise the success rate of first time intubation and reduce the incidence of postoperative throat discomfort. Thus, ring-shaped bending tube without stylet is efficient, safe and convenient in intubation. |
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