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| 可视硬性喉镜在牙槽突裂患儿气管插管中的应用 |
| Application of visual rigid laryngoscope in endotracheal intubation in children with alveolar cleft |
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| DOI：10.12089/jca.2022.09.003 |
| 中文关键词: 可视硬性喉镜 牙槽突裂 气管插管 儿童 |
| 英文关键词: Visual rigid laryngoscope Alveolar cleft Endotracheal intubation Children |
| 基金项目:江西省卫生健康委科技计划（SKJP22024151） |
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| 中文摘要: |
目的 探讨可视硬性喉镜在牙槽突裂患儿气管插管中的应用效果。
方法 选择2020年1月至2021年10月拟在全麻气管插管下行牙槽突裂骨移植术的患儿80例，男67例，女13例，年龄8～14岁，BMI<25 kg/m2，ASA Ⅰ级。根据病种连续住院单双号将患儿分为两组：可视喉镜组和可视硬性喉镜组，每组40例。可视喉镜组使用可视喉镜进行气管插管，可视硬性喉镜组使用可视硬性喉镜进行气管插管。记录麻醉诱导前30 min、麻醉诱导后即刻、气管插管即刻、气管插管后3 min的HR和MAP。记录气管插管时间、首次气管插管成功例数、气管插管次数。记录气管插管工具卡裂隙、牙齿松动、口腔软组织损伤及声音嘶哑等气管插管相关并发症发生情况。
结果 与可视喉镜组比较，可视硬性喉镜组气管插管即刻HR明显减慢（P<0.05）、MAP明显降低（P<0.05），气管插管时间明显缩短（P<0.05），首次气管插管成功率明显升高（P<0.05），气管插管次数明显减少（P<0.05）。
结论 可视硬性喉镜用于牙槽突裂患儿气管插管可以稳定血流动力学，缩短插管时间，提高首次插管成功率，减少插管次数。 |
| 英文摘要: |
Objective To investigate the application of visual rigid laryngoscope in endotracheal intubation in children with alveolar cleft.
Methods Eighty children underwent alveolar cleft bone grafting under general anesthesia from January 2020 to October 2021, 67 males and 13 females, aged 8-14 years, BMI < 25 kg/m2, ASA physical status Ⅰ, were divided into two groups: visual laryngoscopy group and visual rigid laryngoscopy group, 40 children in each group. The visual laryngoscope group was used for tracheal intubation in visual laryngoscope, and the visual rigid laryngoscope group was used for tracheal intubation in visual rigid laryngoscope. HR and MAP were recorded 30 minutes before anesthesia induction, immediately after anesthesia induction, immediately after endotracheal intubation, and 3 minutes after endotracheal intubation. The time of endotracheal intubation, the number of successful first endotracheal intubation and the number of endotracheal intubation were recorded. The complications related to endotracheal intubation were recorded, such as splintered endotracheal intubation tools, loose teeth, oral soft tissue injury and hoarseness.
Results Compared with the visual laryngoscopy group, HR and MAP were significantly decreased immediately after endotracheal intubation (P < 0.05), endotracheal intubation time was significantly shortened (P < 0.05), the success rate of initial endotracheal intubation was significantly increased (P < 0.05), and intubation times were significantly reduced in the visual rigid laryngoscopy group (P < 0.05).
Conclusion Visual rigid laryngoscope for endotracheal intubation in children with alveolar cleft can stabilize hemodynamics, shorten intubation time, improve the success rate of initial intubation, and reduce intubation times. |
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