可视喉镜联合纤维支气管镜引导在困难气管插管中的应用价值分析.docVIP

可视喉镜联合纤维支气管镜引导在困难气管插管中的应用价值分析 　[摘要]目的 探?可视喉镜联合纤维支气管镜在困难气管插管中应用价值。方法 将我院2014年9月～2016年9月收治的困难气管插管患者82例，将其随机分为观察组与对照组，各41例，对照组患者行可视喉镜下气管插管，观察组患者行可视喉镜联合纤维支气管镜引导下气管插管，观察两组患者插管前后生命体征改变，比较两组患者一次插管成功率及平均插管时间，记录两组患者气管插管并发症发生情况。结果 两组患者插管后3 min MAP、HR及SpO2与插管前比较，差异无统计学意义（P0.05），且插管后3 min两组患者MAP、HR及SpO2比较，差异无统计学意义（P0.05）；观察组患者插管时间显著短于对照组（t=46.0993，P0.01），观察组患者一次插管成功率为95.12%，显著高于对照组的80.49%（χ2=4.1000，P0.05）；观察组患者插管后并发症发生率为9.76%，显著低于对照组的31.71%（χ2=6.0109，P0.05）。结论 可视喉镜联合纤维支气管镜应用于困难气管插管可显著缩短插管时间，提高一次插管成功率，减少并发症的发生。 本文采集自网络，本站发布的论文均是优质论文，供学习和研究使用，文中立场与本网站无关，版权和著作权归原作者所有，如有不愿意被转载的情况，请通知我们删除已转载的信息，如果需要分享，请保留本段说明。 　[关键词]可视喉镜；纤维支气管镜；困难气道；气管插管 　　[中图分类号] R768.1 [文献标识码] A [文章编号] 1674-4721（2016）12（c）-0099-03 　　Analysis of the clinical application value of tracheal intubation by visual laryngoscopy combined with fiberoptic bronchoscopy in intubation with difficult airway 　　CHEN Hong-wu1 CHEN Lin-li2 JIANG Feng-yan1 　　1.Department of Anesthesiology，Affiliated Hospital of Putian University，Putian 351100，China；2.Fujian Medical University，Fuzhou 351100，China 　　[Abstract]Objective To analyze the clinical application value of tracheal intubation by visual laryngoscopy combined with fiberoptic bronchoscopy in intubation with difficult airway.Methods 82 patients with difficult airway who were treated in our hospital from September 2014 to September 2016 were selected and randomly divieded into observation group and control group，41 cases in each group.The observation group was intubated by visual laryngoscopy combined with fiberoptic bronchoscopy while the control group was intubated by visual laryngoscopy.The one-time success rate，the time of intubation and the complication rate between two groups were compared，the change of the vital signs before and after intubation were observed.Results The difference of the MAP，HR and SpO2 before and 3 minutes after intubation were no significant differenecs in both groups（P0.05），the changes of