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时间:2020-05-02
《GlideScope视频喉镜和Macintosh直接喉镜用于鼾症患者气管插管的比较.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、临床耳鼻咽喉头颈外科杂志2013正·468·JClin0torhinolaryngolHeadNeckSurg(China)27卷9期GlideScope视频喉镜和Macintosh直接喉镜用于鼾症患者气管插管的比较柯晋源徐乾[摘要]目的:比较GlideSeope视频喉镜(GSVL)、Macintosh直接喉镜(MDLS)2种插管设备对鼾症患者全身麻醉诱导后气管插管的有效性和安全性。方法:40例美国麻醉医师协会I~Ⅲ级择期行鼾症手术的患者,随机分为GSVL组和MDLS组(每组各2O例)。常规麻醉诱导后,分别采用GSVL、MDLS经口气管插管,记录2组声
2、门显露情况、气管插管时间(面罩通气结束至气管插管成功即刻的时间)、气管插管操作的次数;记录麻醉诱导前(基础值To)、气管插管前即刻(T1)、气管插管后即刻(T2)、气管插管后1min(T3)、气管插管后3min(T4)平均动脉压(MAP)及HR的变化。结果:声门显露情况GSVL组优于MDLS组;气管插管时间MDLS组为(27士l1)s,GSVL组为(26±11)s,差异无统计学意义;与TO相比,2组患者T1的MAP降低(P<0.05),HR差异无统计学意义(P>0.05);T2、T3的MAP增高、HR增快(P<0.05);T4的MAP下降,但HR仍增快
3、(P<0.05);组间比较各时点MAP、HR差异无统计学意义(P>0.05)。结论:GsVL与MDLS相比,有利于改善鼾症患者气管插管时的声门显露,从而提高气管插管的成功率;但GSVL在预防气管插管时的血液动力学反应方面并无明显优势。[关键词]喉镜;气管内插管;鼾症;全身麻醉[中图分类号]R767[文献标志码]A[文章编号]1001—1781(2013)09-0468—03ComparisontheapplicationsoftrachealintubationwithGlideScopevideolaryngoscopeandMacintoshdir
4、ectlaryngoscopeinsnoringpatientsKEJinyuanXUQian(DepartmentofAnesthesiology,WuhanPuaiHospital,Wuhan,430034,China)Correspondingauthor:KEJinyuan,E—mai1:kjy87654321@sina.cornAbstract0bjective:TocomparetheefficacyandsafetyofapplicationsofGlideScopevideolaryngoscope(GSVL)andMacintoshd
5、irectlaryngoscope(MDLS)duringendotrachealintubationundergeneralanesthesiaofabdominalsnoringsurgeries.Method:FortypatientsrangedfromAmericanSocietyofAnesthesiologistsItomscheduledforsnoringsurgeryundergeneralanesthesiawithendotrachealintubationwererandomlydividedintoGSVLgroupandM
6、DLSgroup(2Ocasesineachgroup),Aftertraditionalinduction,endotrachealintubation(ETT)performedbyGSVLorMDLS.Glotticexposure,thetimeofendotrachealintubation(frommaskventila—tionendingtosuccessfulintubation),thetimesoftrachealintubationoperationwererecordedinbothgroups.Themeanarterypr
7、essure(MAP),heartrate(HR)weremonitoredbeforeinduction(basicvalueTO),beforetrachealin—tubation(T1),aftertrachealintubation(T2),lminaftertrachealintubation(T3),3minsaftertrachealintubation(T4).Result:TheglotticexposureofGSVLgroupissuperiortothatofMDLSgroup.Therewasnosignificantdif
8、ferenceinthetimeoftrachealintubationbetweenMDIS
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