摘要
目的观察Airtraq喉镜使用钢丝加强型导管和普通气管导管进行气管插管的临床效果。方法 90例行择期整形外科手术的需气管插管的全麻患者,随机分为钢丝加强型导管组(A组)和普通导管组(B组),每组45例。常规静脉快速诱导后,用Airtraq喉镜分别携带钢丝加强型导管或普通气管导管行气管插管。观察两组患者的插管时间、插管成功率、插管期间的血流动力学变化以及术后并发症的发生情况。结果所有患者全部用Airtraq喉镜完成气管插管,B组一次插管成功率(91.1%)低于A组(95.6%)(P<0.05);B组插管时间[(35.4±16.6)s]显著长于A组[(26.8±9.0)s](P<0.05),两组血流动力学变化及术后并发症的发生情况差异无统计学意义。结论 Airtraq喉镜能够安全有效地应用于全麻患者的气管插管,使用钢丝加强型导管可以进一步提高插管成功率,缩短插管时间。
Objective To observe the intubation effects on steel-reinforced trachea tube and normal trachea tube with Airtraq laryngoscopy. Methods Ninety ASA Ⅰ or Ⅱ general anesthesia patients scheduled for selective plastic surgery were randomized into 2 groups （n=45 for each）： the steel-reinforced trachea tube group （group A） and normal trachea tube group （group B）. After rapid intravenous induction, the patients in each group were orally intubated with Airtraq laryngoscope. Intubation time, success rate at the first intubation, hemodynamics during intubation and postoperative complications were recorded. Results All patients were intubated successfully. The success rate at the first intubation in group B （91.1%）was lower than group A（95. 6%）（P〈0. 05）. The intubation time in group B[（35. 4±16. 6）s] was significantly longer than group A[（26.8±9.0） s] （P〈0. 05）. No significant difference was found with respect to hemodynamics and postoperative complication. Conclusion Airtraq laryngoscopy can be safely used in tracheal intubation under general anesthesia. Airtraq laryngoscopy via sted-reinforced trachea tube can increase intubetion success rate and shorten intubation time.
出处
《临床麻醉学杂志》
CAS
CSCD
北大核心
2011年第6期544-546,共3页
Journal of Clinical Anesthesiology
