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| UE可视喉镜在急诊剖宫产患儿床边气管插管术中的应用 |
| Application of UE glidescope in the bedside endotracheal intubation of children during emergency caesarean section |
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| DOI：10.12089/jca.2020.06.009 |
| 中文关键词: UE可视喉镜 急诊剖宫产 患儿 气管插管术 |
| 英文关键词: UE Glidescope Emergency cesarean section Children Endotracheal intubation |
| 基金项目: |
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| 中文摘要: |
目的 比较UE可视喉镜与直接喉镜在急诊剖宫产床边患儿气管插管术中的临床效果，探讨UE可视喉镜在患儿气管插管术中的应用价值。
方法 选取我院2017年1月至2019年4月收治的急诊剖宫产床边有气管插管适应证的患儿40例，男17例，女23例，胎龄33～41周，BMI 11～15 kg／m2，ASA Ⅲ或Ⅳ级。随机分为两组：UE可视喉镜组（U组）和Miller直接喉镜组（M组），每组20例。U组采用UE VL300SS型号可视喉镜和普通管芯辅助进行气管插管术，M组采用Miller直接喉镜，通过听诊两肺和监测PETCO2确定气管导管的正确位置。记录声门暴露时间、完成插管时间。记录声门暴露等级、一次插管成功例数。记录牙龈出血、皮肤损伤和食管插管等并发症发生情况。
结果 U组声门暴露时间明显短于M组，声门暴露Ⅰ级比例和一次插管成功率明显高于M组（P<0.05）。两组完成插管时间以及牙龈出血、皮肤损伤和食管插管发生率差异无统计学意义。
结论 UE可视喉镜应用于急诊剖宫产床边患儿气管插管术中，能够缩短声门暴露时间，同时提高声门暴露等级，提高一次插管成功率，减少不良反应，提高气管插管安全性。 |
| 英文摘要: |
Ojective To compare the clinical effect of UE glidescope and direct laryngoscope in endotracheal intubation of children during emergency cesarean section surgery, and to explore the application value of UE glidescope in endotracheal intubation of children.
Methods Forty children who had indications for bedside endotracheal intubation in emergency cesarean section in our hospital from January 2017 to April 2019, 17 males and 23 females, aged 33-41 weeks, with a BMI of 11-15 kg／m2, falling into ASA physical status Ⅲ or Ⅳ, were randomly divided into UE glidescope group (group U) and Miller directoscop group (group M), 20 cases in each group. UE VL300SS glidescope was adopted for endotracheal intubation assisted with the common tube core for children in group U, while Miller directoscope was applied in the endotracheal intubation of children in group M. The endotracheal tube in right position was determined by auscultating two lungs and monitoring the PETCO2. The time of exposing glottis and the time of completing intubation were recorded. The grade of glottis exposure and the one-time success case of intubation were recorded. The complications including gingival bleeding, skin injury and esophageal intubation were recorded.
Results The time of exposing glottis was significantly shorter, the ratio of Grade I glottis exposure was significantly higher in group U than those in group M (P < 0.05). The one time success rate of intubation was significantly higher in group U than those in group M (P < 0.05). The time of completing intubation had no statistical difference. The differences between the two groups in the incidence of gingival bleeding, skin injury and esophageal intubation were not statistically significant. There was no significant difference in the time completing intubation between the two groups. There was no significant difference in the incidence of skin injury and esophageal intubation between the two groups.
Conclusion The application of UE Glidescope in the bedside endotracheal intubation of children during emergency cesarean section can shorten the time of exposing glottis, increase the grade of glottis exposure, improve the one-time success rate of intubation and reduce adverse reactions and enhance the safety of endotracheal intubation. |
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