摘要
目的分析光棒与普通喉镜用于鼾症患者清醒气管插管的临床应用。方法选择ASA分级为Ⅰ~Ⅱ级的患者62例,随机分为光棒组31例和普通喉镜组31例(以下简称喉镜组)。两组均采用清醒气管插管,插管前均给予1%丁卡因口腔咽喉部表面麻醉,喉镜组加鼻腔表面麻醉,再经环甲膜穿刺给予2%利多卡因3~4 m L气管内注射,静脉泵注右美托咪啶0.5~1μg/kg(10 min注完),静脉注射瑞芬太尼0.5~1μg/kg(2 min注完)。光棒组在光棒的引导下经口进行气管插管,普通喉镜组采用经鼻腔在普通喉镜直视下气管插管。记录两组患者的插管时间、插管成功率、呛咳反应,有无呼吸抑制,对比两组的并发症发生情况。结果两组患者均无呼吸抑制,光棒组患者比喉镜组患者气管插管成功率高,有显著差异(P<0.05);光棒组的气管插管时间小于喉镜组,差异显著(P<0.05);光棒组在插管时呛咳反应少,插管后发生咽痛、声音嘶哑和黏膜损伤的患者少于喉镜组,差异具有统计学意义(P<0.05)。结论在鼾症患者的清醒气管插管中应用光棒的成功率高,时间更短、且并发症更少,值得在临床中推广。
Objective Clinical application of light bar and general laryngoscope for clear tracheal intubation in snoring patients. Method Sixty-two patients with ASA grade Ⅰ - Ⅱ were selected and divided into 31 cases of light rod group and 31 cases （hereinafter referred to as laryngoscope group）. Two groups were treated with clear tracheal intubation, intubation were given 1% tetracaine oral cavity throat anesthesia, laryngoscopy plus nasal surface anesthesia, and then through the cricothyroid membrane puncture given 2% lidocaine 3-4 mL trachea Intravenous injection of remifentanil 0.5-1 μg/kg （10 min） and intravenous injection of remifentanil 0.5-1 μg/kg （2 min）. Light bar group under the guidance of light rods for tracheal intubation, general laryngoscope group using nasal cavity in the ordinary laryngoscope trader direct tracheal intubation. The rate of intubation, the success rate of intubation, the cough response, the presence or absence of respiratory depression were recorded in both groups, and the complications were compared between the two groups. Result There was no significant difference in the success rate of tracheal intubation between the two groups （P〈0.05）; The tracheal intubation time of light rod group was less than that of laryngoscope group （P〈0.05）. Light bar group in the intubation cough reaction less intubation after sore throat, hoarseness and mucosal injury in patients less than laryngoscopy group, the difference was statistically significant （P〈0.05）. Conclusion In the snoring patients with clear tracheal intubation in the application of light rods with high success rate, shorter time, and less complications, it is worth to promote in clinical practice.
出处
《中国医药指南》
2017年第11期9-10,共2页
Guide of China Medicine
关键词
光棒
普通喉镜
清醒气管插管
鼾症
Light bar
Ordinary Laryngoscope
Clear tracheal intubation
Snoring
