帝视内窥镜引导全麻患者经口气管插管的可行性_毛文虹1_高学2.pdfVIP

2013年 4月摇 摇 摇 摇 摇 首 都 医 科 大 学 学 报 摇 摇 摇 Apr. 2013 第34卷摇 第2期摇 摇 摇 摇 Journal of Capital Medical University Vol郾34摇 No郾2 [doi:10郾3969/j.issn郾1006鄄7795郾2013郾02郾023] ·临床研究 · 帝视内窥镜引导全麻患者经口气管插管的可行性 毛文虹 摇 高摇 学1 2 (1. 中国中医科学院西苑医院麻醉科,北京 100091;2. 首都医科大学附属北京友谊医院麻醉科,北京 100050) 揖摘要铱摇 目的摇 对比帝视内窥镜和视可尼气管插管的有效性和安全性,评价帝视内窥镜引导全身麻醉(以下简称全麻)患者经 口气管插管的可行性。 方法摇 拟气管插管全身麻醉患者60例,分为帝视内窥镜组(D组)和视可尼组(S组)各30 例,分别采用 帝视内窥镜和视可尼引导气管插管,观察并记录插管时间、插管次数、血流动力学变化以及合并症。 结果摇 D组30 例患者中有 29例气管插管成功,其中1次成功者27 例(90%),2 次成功者2 例(7%),失败者 1例(3%),总体成功率97%,插管时间为 (34.0依21.7)s;S组30例患者均气管插管成功,其中1次成功者28例(93%),2次成功者2例(7%),总体成功率100%,插管时 间(44.8依33.1)s。 2组插管前后血流动力学无显著变化。 2组插管咽痛、声嘶等合并症发生率均较低。 结论摇 全麻患者使用帝 视内窥镜气管插管成功率高、血流动力学影响小、合并症少,是临床可用的一种气管插管方法。 揖关键词铱摇 帝视内窥镜;视可尼;气管插管 揖中图分类号铱摇 R614.2 Feasibility of disposcope guided orotracheal intubation 1 2 MAO Wenhong ,GAO Xue (1. Department of Anesthesiology,XiyuanHospital of ChinaAcademy of Chinese Medical Sciences,Beijing 100091,China; 2. Department of Anesthesiology,Beijing Friendship Hospital,CapitalMedical University,Beijing 100050,China) 揖Abstract铱摇 Objective摇 To compare the effectiveness of disposcope and shikani guidedtracheal intubation,and evaluatethefeasibility of disposcopeguidedtrachealintubationundergeneralanesthesia. Methods摇 Totally sixtypatientsundergeneralanesthesiawereenrolled in this prospective study. The patients were randomly allocated to Group D(disposcope) or Group S(shikani). After anesthesia induction,trachealintubationwereperformedundertheguidancefromdisposcopeorshikani. Thenumberanddurationandsuccessrateof tracheal intubation were recorded. Noninvasive blood pressure and heart rate were recorded during tracheal intubation. Adverse events were recorded24 hours after tracheal intubation. Results摇 The rate of successful tracheal intubation with disposcope was 97% and