摘要
目的:探究UEscope可视硬质喉镜与直接喉镜临床应用效果。方法:选取2018年5月-2019年8月笔者所在医院累及C2节段脊髓型颈椎病(CSM)患者76例,根据气管插管方式分为两组,各38例。对照组采用直接喉镜,观察组采用UEscope可视硬质喉镜。对比两组诱导前、诱导后、插管时、插管后5 min心率(HR)及平均动脉压(MAP)水平、平均插管时间、咽部疼痛不适或声嘶发生率。结果:插管时观察组HR、MAP均低于对照组(P<0.05);观察组平均插管时间短于对照组,咽部疼痛不适或声嘶发生率低于对照组(P<0.05)。结论:累及C2节段CSM患者行气管插管时采用UEscope可视硬质喉镜,可稳定血流动力学,缩短插管时间,降低咽部疼痛不适或声嘶发生率。
Objective:To explore the clinical effects of UEscope visual rigid laryngoscope and direct laryngoscope.Method:A total of 76 cases with cervical spondylotic myelopathy (CSM) involving C2 segment in our hospital from May 2018 to August 2019 were selected,and according to intubation methods,they were divided into two groups,38 cases in each group.Direct laryngoscope was used in the control group and UEscope visual rigid laryngoscope was used in the observation group.The levels of heart rate (HR) and mean arterial pressure (MAP) before induction,after induction,during intubation and 5 min after intubation,average intubation time,incidence of pharyngeal pain and discomfort or hissing were compared between the two groups.Result:During intubation,HR and MAP in the observation group were lower than those of the control group (P<0.05).The average intubation time in the observation group was shorter than that of the control group,and the incidence of pharyngeal pain and discomfort or hoarseness in the observation group was lower than that of the control group (P<0.05).Conclusion:The use of UEscope visual rigid laryngoscope during endotracheal intubation in patients with CSM involving C2 segment can stabilize hemodynamics,shorten intubation time,and reduce the incidence of pharyngeal pain and discomfort or hoarseness.
作者
李兴林
袁志福
LI Xinglin;YUAN Zhifu(Yangxin County People’s Hospital,Yangxin 435200,China;不详)
出处
《中外医学研究》
2020年第17期116-117,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
