可视喉镜配合纤维支气管镜引导双腔支气管插管在胸外科手术麻醉中应用.docVIP

可视喉镜配合纤维支气管镜引导双腔支气管插管在胸外科手术麻醉中应用 　　[摘要] 目的 研究和探讨可视喉镜配合纤维支气管镜引导双腔支气管插管在胸外科手术麻醉中的应用效果。 方法 选择我院2016年5月～2017年5月收治的124例行全身麻醉经支气管插管胸外科手术的患者为研究对象，将患者随机分为两组。对照组62例，采用传统的听诊法插管；研究组62例，采用可视喉镜配合纤维支气管镜引导双腔支气管插管。对两组患者插管定位时间、一次性插管成功率及术后48 h并发症情况进行比较分析。 结果 研究组一次性插管成功为98.4%，对照组一次性插管成功率为59.7%。研究组插管定位时间为（62.4±18.5）s，对照组插管定位时间为（84.1±29.4）s，研究组术后48 h并发症发生3例，占比为4.8%；对照组48 h并发症发生10例，占比为16.1%；两组一次性插管成功率、定位时间及48 h并发症发生率比较差异均有统计学意义（P0.05）。 结论 可视喉镜配合纤维支气管镜引导双腔支气管插管在胸外科手术麻醉中可有效减少定位时间、提高一次性插管成功率，降低48 h并发症发生率，可进行临床推广。 　　[关键词] 可视喉镜；纤维支气管镜；支气管插管；麻醉 　　[中图分类号] R614 [文献标识码] B [文章编号] 1673-9701（2017）31-0103-04 　　[Abstract] Objective To study and evaluate the application effect of visible laryngoscopy combined with fiberoptic bronchoscopy guided double-lumen bronchial intubation in thoracic surgery anesthesia. Methods A total of 124 patients who were admitted to our hospital and were given thoracic surgery of bronchial intubation under general anesthesia from May 2016 to May 2017 were selected as the study subjects. The patients were randomized. 62 cases in the control group were given traditional auscultatory intubation； 62 cases in the study group were given visual laryngoscopy combined with fiberoptic bronchoscopy guided double-lumen bronchial intubation. The intubation positioning time， success rate of one-time intubation and 48 h postoperative complications were compared and analyzed between the two groups. Results The success rate of one-time intubation in the study group was 98.4%， and the success rate of one-time intubation in the control group was 59.7%. The time of intubation positioning in the study group was（62.4±18.5）s， and the time of intubation positioning in the control group was （84.1±29.4） s. In the study group， the 48 h postoperative complications were seen in 3 cases， accounting for 4.8%； the 48 h postoperative complications were seen in 10 cases， accounting for 16.1%； there were statistically significant differences in the success rate of one-time intubation， the time of positi