摘要
目的:观察可视喉镜在保留自主呼吸气管插管术中的临床效果和安全性。方法:ASAⅠ～Ⅱ级需保留自主呼吸气管插管患者30例,随机分为普通喉镜组(德国Kawe喉镜)(A组)和可视喉镜组(Glidescope可视喉镜)(C组),每组15例。两组患者以1%丁卡因充分气管表面麻醉后静脉注射咪达唑仑及舒芬太尼。观察两组患者插管时间和插管成功率;同时记录给药前(t0)、给药后(t1)、插管即刻(t2)、插管后(t3)各时间点的心率(HR)、平均动脉压(MAP)、呼吸频率(RR)、脉搏血氧饱和度(SpO2)及不良反应。结果:(1)C组插管时间为(41.6±10.7)s,明显短于A组插管时间(68.7±11.5)s;C组插管成功率(93.3%)明显高于A组(86.7%)(P<0.05);(2)与C组比较,A组患者t2、t3时间点HR及MAP增加显著(P<0.05);(3)A组患者躁动、呛咳、屏气等不良反应明显高于C组(P<0.05)。结论:可视喉镜可安全用于保留自主呼吸的气管插管术,缩短插管时间,提高插管成功率,对循环系统影响轻微。
Objective：To observe the effect and safety of video-laryngoscope during spontaneous respiration tracheal intubation.Method：Sixty surgery patients undergoing spontaneous respiration tracheal intubation,with ASA grades ⅠandⅡ,were randomly divided into two groups of thirty each：laryngoscope group（group A） and Video-Laryngoscope group（group C）.The Midazolam and Sufentanil were administrated after sufficient topical anesthesia of trachea with 1% dicaine.The time and the achievement ratio of tracheal intubation were recorded.The heart rate（HR）,mean arterial blood pressure（MAP）,respiratory rate（RR）,saturation of pulse oxygen（SpO2） and adverse effect were recorded in premedication（t0）,after medication（t1）,tracheal intubation instant time（t2） and after tracheal intubation（t3）,simultaneously.Results：（1） The time of tracheal intubation in group C（41.6±10.7）s was less than that in group A（68.7±11.5）s;the achievement ratio of tracheal intubation in group C（93.3%） outweighed group A（86.7%）（P0.05）.（2） Compared with group C,the HR and MAP increased significantly in t2 and t3 in group A（P0.05）.（3） The adverse agitation,bucking and breathholding were significantly less marked in group C than those in group A（P0.01）.Conclusion：It is safe and feasible to use Video-Laryngoscope for spontaneous respiration tracheal intubation,shorting the time and increasing the achievement ratio of tracheal intubation with little effect on circulatorium.
出处
《南通大学学报（医学版）》
2010年第1期66-67,70,共3页
Journal of Nantong University(Medical sciences)
关键词
可视喉镜
自主呼吸
气管插管术
Video-Laryngoscope
Spontaneous respiration
Tracheal intubation
