可视喉镜在全麻气管插管中应用观察.docVIP

可视喉镜在全麻气管插管中应用观察 　　[摘要] 目的 探讨可视喉镜在全麻气管插管中的应用效果。方法 方便选取该院2015年8月―2016年3月收治的110例需要进行全麻气管插管的患者，随机分为观察组和对照组。对照组采用直接喉镜法进行气管插管，观察组采用可视喉镜法进行气管插管，比较两组的插管过程中的血流动力学变化和插管效果。 结果 ?^察组在插管即刻的SBP、DBP分别为（123.25±4.56）、（77.55±3.28）mmHg低于对照组的（142.28±5.30）、（90.41±4.69）mmHg，差异有统计学意义（P0.05）。观察组的声门暴露时间、气管插管时间分别为（4.71±0.62）、（9.15±1.47）s均短于对照组的（6.53±1.12），（14.36±1.92）s，气管插管成功率为100.00%高于对照组的85.45%，并发症为5.45%低于对照组的18.18%，差异有统计学意义（P0.05）。 结论 可视喉镜能够减轻气管插管对患者血流动力学的影响，缩短全麻气管插管的时间，提高插管成功率，减少并发症的发生。 　　[关键词] 可视喉镜；全麻；气管插管；成功率；并发症 　　[中图分类号] R614 [文献标识码] A [文章编号] 1674-0742（2017）01（c）-0091-03 　　Observation on Application of Glidescope in the Tracheal Intubation under General Anesthesia 　　LI Fang 　　Department of Anesthesiology， Jianou Municipal Hospital， Jianou， Fujian Province， 353100 China 　　[Abstract] Objective To discuss the application effect of Glidescope in the tracheal intubation under general anesthesia. Methods Convenient selection 110 cases of patients needing the tracheal intubation under general anesthesia admitted and treated in our hospital from August 2015 to March 2016 were randomly divided into two groups， the control group adopted the direct laryngoscope for tracheal intubation， while the observation group adopted the Glidescope for tracheal intubation， and the hemodynamics change and intubation effect of the two groups were compared. Results The SBP and DBP at the time of intubation in the observation group were lower than those in the control group[（123.25±4.56），（77.55±3.28）mmHg vs （142.28±5.30），（90.41±4.69）mmHg]， and the differences had statistical significance（P0.05）， and the glottis exposure time and tracheal intubation time in the observation group were shorter than those in the control group，[（4.71±0.62），（9.15±1.47）s vs（6.53±1.12），（14.36±1.92）s]， and the tracheal intubation success rate was higher than that in the control group（100.00% vs 85.45%， and the incidence rate of complications was lower than that in the control group（5.45% vs 18.18%）， and the difference had statis