摘要
目的比较可视喉镜和直接喉镜在全麻患者气管插管中的临床应用。方法选择2010年2～10月在本院住院的150例需要进行全麻后手术的患者作为本次临床观察的研究对象,随机分为观察组(可视喉镜组)和对照组(直接喉镜组),每组各75例。观察监测患者全麻前、插管时、插管后10min时的血压、平均动脉压、心率。记录插管的时间、术后观察插管的并发症。结果插管前,观察组心率为(71.2±4.2)/min,对照组心率为(70.2±3.7)/min,两组比较差异无统计学意义;插管即刻对照组心率为(90.4±5.1)/min,而观察组[(74.1±3.1)/min]与插管前比较无明显变化,对照组的心率明显高于观察组,两组比较差异有统计学意义(P<0.05);插管后,观察组的心率为(77.4±4.5)/min,对照组的心率为(76.4±4.6)/min,两组比较差异无统计学意义。观察组的插管时间[(14.3±3.4)min]明显少于对照组[(27.1±4.3)min];术后观察组的插管后并发症发生率(12.00%)明显低于对照组(21.33%),差异有统计学意义(P<0.05)。结论在全麻诱导下气管插管中,使用可视喉镜比直接喉镜对人体的影响更小,值得临床推广应用。
Objective To compare the clinical applications of video-laryngoscope and direct laryngoscope in patients with tracheal intubation induced by general anesthesia.Methods 150 patients admitted into our hospital and waited for surgeries after general anesthesia from February to October 2010 were selected for the clinical observation.They were evenly divided into observation group (video-laryngoscope group) and control group (direct group) in random,each group of 75 cases.The blood pressure,mean arterial pressure,heart rate (HR) were observed and monitored before general anesthesia,during tracheal intubation,and 10 minutes after intubation Besides,the time of intubation and complications of intubation after surgery were also recorded.Results Before intubation,the HR in the observation group was (71.2±4.2)/minute,while in the control group was (70.2±3.7)/minute,which indicated no difference.In the instant time of intubation,the HR in the control group was (90.4 ±5.1) /minute,while in the observation group,it was (74.1 ±3.1)/ minute with no significant difference compared with pre-intubation.But in comparison with the control group,there was a statistical difference (P<0.05).After intubation,the HR in the observation group was (77.4 ±4.5)/minute,while in the control group,it was (76.4±4.6)/minute,and there was no statistical difference.The time of intubation in the observation group was [(14.3±3.4) min],greatly shorter than that in the control group [(27.1 ±4.3) min].The incidence of complications after intubation in the observation group after surgery was 12.00%,less than that of the control group 21.33%,with a statistical difference (P <0.05).Conclusion Tracheal intubation in general anesthesia by video -laryngoscope have less impact on human body compared with that by direct laryngoscope,which is worthy of extension in clinic.
出处
《中国当代医药》
2013年第24期103-104,共2页
China Modern Medicine
关键词
可视喉镜
直接喉镜
全麻气管插管
并发症
Video-laryngoscope
Direct laryngoscope
Tracheal intubation in general anesthesia
Complication
