可视喉镜联合光杖在临床麻醉气管插管带教中的效果比较(1)
[摘要] 目的 探討可视喉镜联合光杖在气管插管中对实习学生带教中的作用。 方法 选取2016年9月～2017年4月在武汉大学人民医院麻醉科实习的24名本科学生，按照随机数字表法分为四组，普通气管插管组(G组)、可视喉镜气管插管组(A组)、光杖气管插管组(B组)、可视喉镜联合光杖气管插管组(C组)，每组6名。分别在气管插管实践操作后第1、3、6个月的最后一周，应用Mallampati气道分级及Comark-Lehane喉头分级对患者气道进行评估，分为困难气道组和非困难气道组，每组各12名。对四组实习学生气管插管进行评估，记录插管成功率及插管所用时间。 结果 实习后第1个月，对于非困难气道患者，四组插管成功率差异无统计学意义(P > 0.05)，但相较于其余三组，B组插管时间较长(P < 0.05)；对于困难气道患者，C组插管成功率高于其他三组，四组插管时间均显著延长(P < 0.05)。实习后第3个月，对于非困难气道患者，四组插管成功率和插管时间比较差异均无统计学意义(P > 0.05)；对于困难气道患者，相较于实习后第1个月四组插管成功率均有所上升，插管时间均有所减少，但C组插管成功率仍高于其他三组(P < 0.05)。实习后第6个月，对于困难气道患者，A、B、C三组插管成功率均高于G组，C组插管成功率最高(P < 0.05)。 结论 可视喉镜联合光杖可以迅速提高实习学生对患者气管插管的成功率，并在困难气道患者插管过程中具有较大优势。
[关键词] 可视喉镜；光杖；气管插管；实习医生
[中图分类号] R615 [文献标识码] A [文章编号] 1673-7210(2018)04(a)-0150-04
[Abstract] Objective To explore the comparative study of glidescope combined with glowstick in trachea intubation in intern students of clinical anesthesia. Methods Twenty-four intern students from September 2016 to April 2017 in Anesthesiology Department of Renmin Hospital of Wuhan University were randomly allocated into 4 groups by random numbers table method： normal intubation group (group G)， glidescope intubation group (group A)， glowstick intubation group (group B) and glidescope combined with glowstick intubation group (group C)， with 6 each group. Before trachea intubation， according to the air way assessed by Mallampati and Comark-Lehane patients were divided into normal air way and difficult air way， 12 in each group. The successful rate and time of trachea intubation at the last week of 1，3 months and 6 months were recorded. Results After 1 month， the successful rate of intubation was no difference between four groups， however， the time of intubation was little longer in group B on normal air way (P < 0.05)， the successful rate of intubation in group C were higher than other groups， all groups need more time for intubation on difficult air way (P < 0.05). After 3 months， there were no difference between four groups on normal air way (P > 0.05)， the successful rate of intubation in four groups were increased than 1 month ago， but group C was still higher than other groups on difficult air way (P < 0.05). After 6 months， the successful rate of intubation in A， B and C groups was higher than that of the group G， group C was the highest group on difficult air way (P < 0.05). Conclusion Glidescope combined with glowstick can quickly improve the successful rate of trachea intubation for the abecedarian， and it has a great advantage in the intubation of patients with difficult air way., 百拇医药(赵博 吴洋 高文蔚 侯家保 詹丽英)
[关键词] 可视喉镜；光杖；气管插管；实习医生
[中图分类号] R615 [文献标识码] A [文章编号] 1673-7210(2018)04(a)-0150-04
[Abstract] Objective To explore the comparative study of glidescope combined with glowstick in trachea intubation in intern students of clinical anesthesia. Methods Twenty-four intern students from September 2016 to April 2017 in Anesthesiology Department of Renmin Hospital of Wuhan University were randomly allocated into 4 groups by random numbers table method： normal intubation group (group G)， glidescope intubation group (group A)， glowstick intubation group (group B) and glidescope combined with glowstick intubation group (group C)， with 6 each group. Before trachea intubation， according to the air way assessed by Mallampati and Comark-Lehane patients were divided into normal air way and difficult air way， 12 in each group. The successful rate and time of trachea intubation at the last week of 1，3 months and 6 months were recorded. Results After 1 month， the successful rate of intubation was no difference between four groups， however， the time of intubation was little longer in group B on normal air way (P < 0.05)， the successful rate of intubation in group C were higher than other groups， all groups need more time for intubation on difficult air way (P < 0.05). After 3 months， there were no difference between four groups on normal air way (P > 0.05)， the successful rate of intubation in four groups were increased than 1 month ago， but group C was still higher than other groups on difficult air way (P < 0.05). After 6 months， the successful rate of intubation in A， B and C groups was higher than that of the group G， group C was the highest group on difficult air way (P < 0.05). Conclusion Glidescope combined with glowstick can quickly improve the successful rate of trachea intubation for the abecedarian， and it has a great advantage in the intubation of patients with difficult air way., 百拇医药(赵博 吴洋 高文蔚 侯家保 詹丽英)