摘要
目的:观察甲颏距离(TMD)测量的准确性及男女患者之间的区别,为临床应用提供参考。方法:由具有5年以上经验的麻醉医师通过手指触摸定位的常规方法测量TMD;由另一位麻醉医师采用超声技术定位甲状软骨切迹,并测量。采用Bland-Altman法进行分析,分别计算男性患者和女性患者触摸定位法测量TMD和超声定位测量TMD的一致性系数(Cronbach α)。结果:男性患者的一致性界限(LoA)为-7.4~6.1 mm,女性患者的LoA为-22.6~14.7 mm。男性患者的Cronbach α为0.958,女性患者的Cronbach α为0.438。结论:相对于男性患者,女性触诊法测量TMD的方法其准确性不高。
Objective:To assess the consistency of thyromental distance(TMD)measurement by Bland Altman method for clinical evidence in predicting difficult airway.Methods:A total of30male and30female patients were recruited,and undergone initial surface location via palpation with conventional TMD measurement by anesthesiologists with more than5year clinical experience.Then TMD was measured via ultrasound location by anesthesiologists skillful in ultrasound technology.Bland Altman method was then used to analyze the measurement consistency(Cronbach alpha coefficients)in males and females between two approaches.Results:The consistency limit(LoA)in male and female patients was between-7.4mm and-6.1mm,-22.6mm and-14.7mm respectively.The Cronbach alpha coefficient was0.958for males and0.438for females.Conclusion:TMD measurement by palpation location appears less accurate in female patients than male counterparts.
作者
王斌
金孝岠
陈永权
姚卫东
WANG Bin;JIN Xiaoju;CHEN Yongquan;YAO Weidong(Department of Anesthesiology, The First Affiliated Hospital of Wannan Medical College, Wuhu 241001, China)
出处
《皖南医学院学报》
CAS
2017年第6期586-588,共3页
Journal of Wannan Medical College
基金
皖南医学院中青年科研基金项目(WK2014F03)
安徽省教育厅自然科学研究重点项目(KJ2015A149)
