基层医院光束引导插管术用于困难气道盲插的体会.docVIP

基层医院光束引导插管术用于困难气道盲插的体会 杨 蒙1 肖 庆2 1.凉山州中西医结合医院 四川 西昌 615000 2.西昌力平医院 四川 西昌 615000探。1min、3min、5min 两组病人SBP、DBP、HR 、RR、SpO2、插管时间、插管次数、插管成功率等的差异及循环系统应激反应的发生率。 结果 A组患者插管后无明显应激反应，血流动力学较稳定、插管时间短、插管成功率高；B组病人SBP、DBP、HR明显升高（P 0.01），心动过速等不良反应发生率也明显升高。 结论 采用光束引导插管法应用于困难气管插管的成功率高，可缩短插管的时间，插管引起心血管反应，循环功能稳定。 盲探插管{0基层医院光束引导插管术用于困难气道盲插的体会}0{Experience of blindness encheiresis guided by beam of light for ifficulty airway0}. {0杨 蒙1 肖 庆2}0{Yang Meng1, Xiao Qing20}. {01.凉山州中西医结合医院 四川 西昌 615000 2.西昌力平医院 四川 西昌 615000}0{1. Yang Meng Department of Anesthesiology, Liang Shan Zhou Hospital of Traditional Chinese Medicine Integrated With Western medicine,Xichang,Szechuan （ 615000 ） 2. Xichang Lipin Hospital, Xichang,Szechuan （ 615000 ）0}. {0［摘要］}0{Abstract】0}. {0目的}0{Objective0}. {0探讨基层医院使用光束引导插管术用于困难气道盲插的安全性、有效性、实用性。}0{To evaluate the safety, validity and practicability of blindness encheiresis guided by the beam of light for difficulty airway in basic hospital.0}. {0方法}0{Method0}. {0全麻患者困难气管插管手术42例，随机分为观察组（A组 n=21）和对照组（B组 n=21）。}0{42 cases of eneral anesthesia with difficulty tracheal intubation was randomly divided into the observation group （Group A n=21）and control group （Group B n=21）.0}. {0两组均在麻醉前进行气道评估确定为困难气道，}0{Both of two groups were evaluated and identified as ifficulty airway before anaesthetization .0}. {0A组采用光束引导插管法，B组采用常规气管插管法；观察插管前、插管后1min、3min、5min 两组病人SBP、DBP、HR 、RR、SpO2、插管时间、插管次数、插管成功率等的差异及循环系统应激反应的发生率。}0{Group A was received the tracheal intubation guided by the beam of light, and Group B received the routine tracheal intubation. The SBP、DBP、HR、RR、SpO2 of both two groups was observed before and at 13、5mins after intubation. As well as, the difference of the time, times, success rate of intubation and the incidence of stress reaction of circulatory system was observed.0}. {0结果 A组患者插管后应激反应较稳定、插管时间短、插管成功率高（p 0.05）；B组病人SBP、DBP、HR明显升高（P 0.01），心动过速等不良反应发生率也明显升高（P 0.01）。}0{Results Compared with Group B, Group A have demonstrated a elatively s