新医学2017，Vol.48Issue(4)：271-275,5.DOI:10.3969/j.issn.0253-9802.2017.04.014
不同体位下可视软镜引导气管插管的临床效果比较
Comparison of clinical efficacy of video airwayscope-guided endotracheal intubation in different positions
李泉 1邵兵 1秦廷英 1梁秀生 1付宝军 1张耀之 1李恒1
作者信息
- 1. 511500 清远,广州医科大学附属第六医院 清远市人民医院麻醉科
- 折叠
摘要
Abstract
Objective To compare the clinical efficacy of video airwayscope-guided endotracheal intubation in different positions.Methods In total, 240 patients scheduled to undergo surgery, aged 18-76 years, diagnosed with Class Ⅰ-Ⅲ by Mallampati scoring before surgery, were recruited and divided into groups A,B and C (n=80).All patients received video airwayscope-guided orotracheal intubation under general anesthesia.In group A, patients were kept in left lateral position with a pillow placed beneath the neck to maintain the neck level and the head backwards.In group B, patients were in right lateral position with a pillow placed under the neck to maintain the neck level and the head backwards.In group C, patients were kept in a supine position.The blood pressure, heart rate and SaO2 level were recorded before anesthesia (T0), during intubation (T1), 1 min after intubation (T2) and 5 min after intubation (T3), respectively.The intubation time and the success rate of the first intubation were statistically compared among three groups.The incidence of intubation-induced adverse reaction was observed.Results All 240 patients successfully underwent the orotracheal intubation.No statistical significance was observed in the blood pressure, heart rate and SaO2 level at each time point among different groups (all P>0.05).At T1 to T3 time points, the diastolic and systolic blood pressure was significantly reduced and the heart rate was significantly slow down compared with those detected at T0 time point (all P<0.0125).Intraoperatively, the SaO2 levels did not significantly change among three groups (all P>0.05).In groups A and B, the success rate of the first intubation was significantly higher than that in group C (both P<0.017).The intubation time in group A was significantly shorter compared with that in groups B and C (both P<0.05).In group C, the incidence of sore throat and hoarseness at postoperative 24 h was significantly higher than that in groups A and B (both P<0.017).Conclusions Application of video airwayscope-guided endotracheal intubation in lateral position yields high success rate and short intubation time, which significantly decreases the risk of sore throat at postoperative 24 h and does not affect respiration.关键词
可视插管软镜/气管插管/侧卧位Key words
Video airwayscope/Endotracheal intubation/Lateral position引用本文复制引用
李泉,邵兵,秦廷英,梁秀生,付宝军,张耀之,李恒..不同体位下可视软镜引导气管插管的临床效果比较[J].新医学,2017,48(4):271-275,5.
