摘要
目的对光导管芯引导气管插管操作方法的可行性及安全性进行探讨和评价。方法240例拟行气管插管的全麻患者,麻醉前预测是否为困难插管条件,分为光导管芯正常插管组、光导管芯困难插管组、喉镜明视正常插管组和喉镜明视困难插管组,每组60例。光导管芯正常插管组和光导管芯困难插管组用光导管芯引导气管插管,喉镜明视正常插管组和喉镜明视困难插管组在喉镜明视下插管,观察记录插管时间、插管次数、插管成功率、血液动力学改变及不良反应。结果光导管芯正常插管组、光导管芯困难插管组、喉镜明视正常插管组和喉镜明视困难插管组的插管成功例数分别为60、60、60和56,喉镜明视对血液动力学的改变与光导管芯插管比较有显著性差异(P<0.05)。结论光导管芯引导气管插管技术可行性强、安全性高,可作为常规气管插管技术及困难气道、插管困难时的首选方法。
Objective To evaluate the safety and feasibility of lighted stylet used for endotracheal intubation. Methods According to Mallampati test,240 patients （ASAⅠ-Ⅱ） were randomly divided into four groups：ordinary airway receiving lighted stylet （Group OL,n=60）,difficult airway receiving lighted stylet （Group DL,n=60）,ordinary airway receiving conventional laryngoscopy （Group OC,n=60） and difficult airway receiving conventional laryngoscopy （Group DC,n=60）. The time,frequency,success ratio,changes of hemodynamic parameters and complications of each intubation and were observed. Results Successful intubation occurred in 60 patients in Group OL,in 60 patients in Group DL,in 60 patients in Group OC and in 56 patients in Group DC. The changes of hemodynamic parameters in airway receiving conventional laryngoscopy group were significant different with that group of using Lighted Stylet （ P〈 0.05）. Conclusions Compared with conventional laryngoscopy,tracheal intubation using lighted stylet is high in feasibility and safety method,and should be used more frequently.
出处
《局解手术学杂志》
2009年第6期382-384,共3页
Journal of Regional Anatomy and Operative Surgery
关键词
光导管芯
气管内插管
喉镜
安全性研究
lighted stylet
endotracheal tube
laryngoscope
research of security
