摘要
目的评价UE可视软性喉镜在肥胖患者中的应用价值。方法选择60例肥胖患者予全身麻醉（全麻），随机分为UE可视软性喉镜组（U组）和GlideScope视频喉镜组（G组），每组各30例，两组采用相同的麻醉诱导方式，U组采用UE可视软性喉镜进行插管，G组采用Glidescope视频喉镜进行插管。观察两组患者麻醉诱导前（T0）、喉镜置入前（T1）、插管后1min（T2）、3min（T3）、5min（T4）、30min（T5）时的SBP、DBP、HR及SpO2变化。记录插管时间、一次性插管成功率，及术后咽喉部不良反应情况。结果与T1及U组比较，G组T2、T3、T4各时间点SBP、DBP、HR明显升高（P〈0．05）；拔管后1h发现U组咽喉部有不适患者2例明显少于G组的18例（P〈0．05）。结论UE可视软性喉镜引导气管插管用于肥胖患者，具有比0lidescope视频喉镜插管的优点，还具有创伤更小、循环更稳定等特点，是一种安全有效的方法。
Objective To evaluate the value of UE in visualized laryngoscopy in obese patients. Methods Sixty obese patients were randomized into two groups under general anesthesia （ n=30 each ） ： the UE group （ group U ） and the GlideScope group （ group G ） .The same anesthesia induction method was used in the two groups.UE visual soft laryngoscope was treated in Group U, and GlideScope video laryngoscope was treated in Group G.SBP, DBP, HR and SpO2 were observed before induction of anesthesia （ T0 ） , before laryngoscope （ T1 ） , and 1 min （ T2 ） , 3min （ T3 ） , 5min （ T4 ） and 30min （ T5 ） after intubation in the two groups.The time of intubation, the success rate of one-time intubation, and the incidence of postoperative throat adverse reactions were recorded. Results Compared with T 1 and U group, SBP, DBP and HR were significantly increased at T2, T3 and T4 in group G （ P〈0.05 ） .Throat discomfort were found in 2 patients at 1 h after extubation in group U while 18 cases in group G （ P〈0.05 ） . Conclusions UE visual soft laryngoscope-guided endotracheal intubation for obese patients, has the advantages of GlideScope video laryngoscope intubation, has less trauma, more stable in ciruculation, therefore is a safe and effective method.
出处
《浙江临床医学》
2017年第2期258-259,共2页
Zhejiang Clinical Medical Journal
基金
浙江省衢州科技局科技资助项目（20122085）
