现代医院Issue(3)：43-46,4.DOI:10.3969/j.issn.1671-332X.2015.03.013
可视喉镜插管对困难气道老年患者血流动力学和咽喉并发症的影响
EFFECTS OF TRACHEAL INTUBATION UNDER VIDEO LARYNGOSCOPE ON HEMODY-NAMIC RESPONSE AND LARYNGOPHARYNGEAL COMPLICATIONS IN ELDERLY PA-TIENTS WITH DIFFICULT AIRWAY
摘要
Abstract
Objective To evaluate the effects of video laryngoscope fortracheal intubation on hemodynamic response and laryngopharyngeal complications in the elderly patients with difficult airway .Methods 80 elderly pa-tients undergoing tracheal intubation were randomly divided into four groups : the first direct laryngoscope group (Group A), the video laryngoscope group (Group B), the second direct laryngoscope group (Group C ), the second video laryngoscopegroup (Group D).The patients were intubated by young doctors (Groups A, B by surgeons;Groups C, D by anesthesiologists) using direct or video laryngoscope .The intubation time,changes of the rate -pres-sure product ( RPP) ,the case number of successful intubation at thefirst time and laryngopharyngeal complications af -ter the operation were recorded .Results Compared with Groups A andC , the intubation time , RPP and the inci-dence of sore throats in Groups B and D were significantly reduced , but the rates of successful intubationwere signifi-cantly increased at thefirst time (p<0.05).Compared with Group B, intubation time, RPP and the incidence of sore throats in Group D were significantly decreased , but the rate of successful intubationwas significantly increased at the -first time (p<0.05).Conclusion Video laryngoscope for tracheal intubation can reduce the hemodynamic response and incidence of postoperative sore throats in elderly patients with difficult airway .关键词
可视喉镜/困难气道/老年患者/血流动力学反应/咽喉并发症Key words
Video laryngoscope/Difficult airway/Elderly patients/Hemodynamic response/Laryngopha-ryngeal complications引用本文复制引用
郭敏,张良清,李经纬,姚爱军..可视喉镜插管对困难气道老年患者血流动力学和咽喉并发症的影响[J].现代医院,2015,(3):43-46,4.基金项目
江门市卫计局新技术新项目 （）
