摘要
目的观察光棒引导气管插管的心血管反应和术后患者的咽痛、声嘶。方法择期行颈椎外伤手术的全麻患者60例,ASAⅡ~Ⅲ级,随机分为光棒组(A组)20例、普通喉镜组(B组)20例和视频喉镜组(C组)20例。常规麻醉诱导后,A组应用光棒技术,B组应用直接喉镜,C组应用视频喉镜进行气管插管。分别记录麻醉诱导前(T0)、插管即刻(T1)、插管后1 min(T2)、3min(T3)、5 min(T4)时患者的收缩压(SBP)、心率(HR)以及术后1 h、12 h、24 h咽痛、声嘶的例数。结果 A组患者在T2时HR、SBP均明显低于B组和C组(P<0.05),T3时HR、SBP均明显低于B组(P<0.05)。A组患者术后1 h、12 h、24 h咽痛和声嘶的发生率显著低于B组(P<0.05)。结论光棒引导下气管插管能有效抑制颈椎外伤患者插管所致的心血管反应,降低患者术后声嘶、咽痛的发生率。
Objective To observe the effect on cardiovascular response and sore throat, hoarseness in the patients under light- wand-guided tracheal intubation. Methods 60 selective patients （ASA Ⅱ -Ⅲ） scheduled for cervical spine under general anesthesia were randomly divided into 3 groups, with 20 cases in each group. These were lightwand-guided （group A）, ordinary laryngoscope （group B ） and video laryngoscope （group C）. HR and SBP were monitored and recorded at the time points of pre-induction （To）, immediately pre-intubation （T1）, 1 min （T2）, 3 min （T3）, 5 min （T4）. Cases of sore throat and hoarseness were also recorded at the point of 1 h, 12 h, 24 h postoperation. Results Values of HR and SBP in group A were significantly lower than those in group B and group C at T2（P〈0.05）. Values of HR and SBP in group A were lower than that in group B at T3（P〈0.05 ）. Cases of postop- erative sore throat and hoarseness in group A were significantly lower than that in group B （P〈0.05）. Conclusion Lightwand- guided tracheal intubation can effectively suppress cardiovascular responses and reduce the incidence of postoperative sore throat and hoarseness, which can be widely used as a routine method of intubation with cervical spine trauma patients.
出处
《当代医学》
2017年第3期7-9,共3页
Contemporary Medicine
关键词
光棒
颈椎外伤
气管插管
心血管反应
声嘶
咽痛
Lightwand
Cervical spine trauma
Intubation
Cardiovascular responses
Sore throat
Hoarseness
