新型可视可塑型电子喉镜在气管插管中的应用(1)
摘要：目的 分析新型可視可塑型电子喉镜在临床气管插管的应用。方法 选取2018年6月～2019年6月我院择期全麻气管插管下行腹腔镜胆囊切除术患者180例，按照随机数字表法分为试验组和对照组，各90例。试验组采用可视可塑型电子喉镜气管插管，对照组采用Shucman喉镜气管插管，比较两组插管时暴露声门评分Ymamoto分级、暴露声门时间、插管时间、插管次数、麻醉诱导后2 min、气管插管后1、3、5 min时血流动力学(HR、MAP、SBP、DBP)变化，并收集拔管后气管插管并发症(气道损伤出血、咽痛、声带麻痹)的发生情况。结果 试验组暴露声门评分、暴露声门时间、插管时间、插管次数优于对照组，差异有统计学意义(P<0.05);试验组气管插管后1、3 minHR、MAP、SBP、DBP优于对照组，差异有统计学意义(P<0.05);试验组术后并发症总发生率为16.70%，低于对照组的45.50%，差异有统计学意义(P<0.05)。结论 新型可视可塑型电子喉镜与Shucman喉镜一样可以完成气管插管任务，其比Shucman喉镜有暴露声门率高、暴露声门时间短、插管用时短、插管成功率高、插管后血流动力学稳定，术后气管插管并发症少的优势。
关键词：新型可视可塑型电子喉镜;普通喉镜;气管插管
中图分类号：R459.9 文献标识码：A DOI：10.3969/j.issn.1006-1959.2020.22.030
文章编号：1006-1959(2020)22-0107-04
Application of a New Type of Visible Plastic Video Laryngoscope in Tracheal Intubation
MA Cheng，CHEN Zhi-gang，HU Jun-rui，CHENG Zhi-xin，SHAO Hai-sheng
(Department of Anesthesiology，Yinchuan Third People's Hospital，Yinchuan 750004，Ningxia，China)
Abstract：Objective To analyze the application of a new type of visible plastic video laryngoscope in clinical tracheal intubation. Methods A total of 180 patients undergoing laparoscopic cholecystectomy under elective general anesthesia and tracheal intubation in our hospital from June 2018 to June 2019 were selected and divided into experimental group and control group according to the random number table method， with 90 cases in each group. The experimental group used visually plastic video laryngoscope tracheal intubation， and the control group used Shucman laryngoscope tracheal intubation. The glottal exposure score Ymamoto classification， exposure time， intubation time， and number of intubations were compared between the two groups during intubation. Changes in hemodynamics (HR， MAP， SBP， DBP) 2 min after induction of anesthesia， 1， 3， and 5 min after tracheal intubation， and collected complications of tracheal intubation (airway injury bleeding， sore throat) after extubation，vocal cord paralysis). Results The test group's glottis exposure score， exposure time， intubation time， and intubation times were better than those of the control group，the difference was statistically significant (P<0.05); the test group was 1， 3 min HR， MAP， SBP， DBP was better than the control group，the difference was statistically significant (P<0.05); the total postoperative complications rate in the experimental group was 16.70%， which was lower than 45.50% in the control group，the difference was statistically significant (P<0.05). Conclusion The new visually plastic video laryngoscope can complete the task of tracheal intubation like the Shucman laryngoscope. Compared with the Shucman laryngoscope， it has a higher rate of exposure to glottis， a shorter exposure time， shorter intubation time， and a higher success rate of intubation. After intubation， the hemodynamics is stable and the postoperative tracheal intubation complications are less., http://www.100md.com(马澄 陈志刚 虎峻瑞 程志新 邵海生)
关键词：新型可视可塑型电子喉镜;普通喉镜;气管插管
中图分类号：R459.9 文献标识码：A DOI：10.3969/j.issn.1006-1959.2020.22.030
文章编号：1006-1959(2020)22-0107-04
Application of a New Type of Visible Plastic Video Laryngoscope in Tracheal Intubation
MA Cheng，CHEN Zhi-gang，HU Jun-rui，CHENG Zhi-xin，SHAO Hai-sheng
(Department of Anesthesiology，Yinchuan Third People's Hospital，Yinchuan 750004，Ningxia，China)
Abstract：Objective To analyze the application of a new type of visible plastic video laryngoscope in clinical tracheal intubation. Methods A total of 180 patients undergoing laparoscopic cholecystectomy under elective general anesthesia and tracheal intubation in our hospital from June 2018 to June 2019 were selected and divided into experimental group and control group according to the random number table method， with 90 cases in each group. The experimental group used visually plastic video laryngoscope tracheal intubation， and the control group used Shucman laryngoscope tracheal intubation. The glottal exposure score Ymamoto classification， exposure time， intubation time， and number of intubations were compared between the two groups during intubation. Changes in hemodynamics (HR， MAP， SBP， DBP) 2 min after induction of anesthesia， 1， 3， and 5 min after tracheal intubation， and collected complications of tracheal intubation (airway injury bleeding， sore throat) after extubation，vocal cord paralysis). Results The test group's glottis exposure score， exposure time， intubation time， and intubation times were better than those of the control group，the difference was statistically significant (P<0.05); the test group was 1， 3 min HR， MAP， SBP， DBP was better than the control group，the difference was statistically significant (P<0.05); the total postoperative complications rate in the experimental group was 16.70%， which was lower than 45.50% in the control group，the difference was statistically significant (P<0.05). Conclusion The new visually plastic video laryngoscope can complete the task of tracheal intubation like the Shucman laryngoscope. Compared with the Shucman laryngoscope， it has a higher rate of exposure to glottis， a shorter exposure time， shorter intubation time， and a higher success rate of intubation. After intubation， the hemodynamics is stable and the postoperative tracheal intubation complications are less., http://www.100md.com(马澄 陈志刚 虎峻瑞 程志新 邵海生)