首页|可视硬性喉镜与可视喉镜在肥胖患者气管插管中的应用价值

可视硬性喉镜与可视喉镜在肥胖患者气管插管中的应用价值

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目的:观察肥胖手术病例气管插管中使用可视硬性喉镜与可视喉镜的效果.方法:选取2022年5月~2024年3月在本院接受肥胖手术治疗的80例患者展开研究,采用随机数表法将其均匀分组,对照组与研究组分别使用可视喉镜、可视硬性喉镜开展气管插管,对比不同组别插管时间、并发症等指标情况.结果:研究组插管并发症发生率比对照组低,且首次插管成功率比对照组高,差异具有统计学意义(P<0.05);研究组插管所用时间少于对照组(P<0.05);研究组患者首次插管成功率为97.50%,对照组患者首次插管成功率为80.00%,研究组患者首次插管成功率高于对照组(P<0.05);研究组气管插管时收缩压、舒张压水平均低于对照组(P<0.05);对照组气管插管时平均动脉压为(98.16±9.64)mmHg,研究组为(92.18±8.79)mmHg,且研究组气管插管时心率水平比对照组低,组间数据对比差异显著(P<0.05).结论:肥胖手术患者采用可视硬性喉镜开展气管插管,不仅可以缩短患者插管时间,也能减少患者插管并发症发生率,对于提升患者首次插管成功率、稳定患者血压及心率水平具有重要的意义.
The Value of Rigid Laryngoscope and Laryngoscope in Tracheal Intubation of Obese Patients
Objective:To observe the effect of rigid laryngoscope and visual laryngoscope in tracheal intubation of obese patients. Methods:A study was conducted on 80 patients who underwent obesity surgery in our hospital from May 2022 to March 2024. They were randomly divided into two groups using a random number table method. The control group and the study group were treated with visual laryngoscope and visual rigid laryngoscope,respectively,for tracheal intubation. The intubation time and complications of different groups were compared. Results:The incidence of intubation complications in the study group was lower than that in the control group,and the success rate of the first intubation was higher than that in the control group,with statistical significance (P<0.05);The time required for intubation in the research group was less than that in the control group (P<0.05);The success rate of first-time intubation in the study group was 97.50%,while the success rate of first-time intubation in the control group was 80.00%. The success rate of first-time intubation in the study group was higher than that in the control group (P<0.05);The average systolic and diastolic blood pressure during tracheal intubation in the study group was lower than that in the control group (P<0.05). The mean arterial pressure during endotracheal intubation was (98.16±9.64) mmHg in the control group and (92.18±8.79) mmHg in the study group. The heart rate was lower than that of control group,and the difference between groups was significant (P<0.05). Conclusion:Using visual rigid laryngoscope to perform tracheal intubation in obese patients can not only shorten the time of intubation,but also reduce the incidence of complications,it is of great significance to increase the success rate of the first intubation and to stabilize the blood pressure and heart rate of the patients.

visual rigid laryngoscopebariatric surgeryvisual laryngoscopetracheal intubationcomplicationsblood pressure

吴晶晶、陈宁

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柘荣县医院,福建宁德 355300

可视硬性喉镜 肥胖手术 可视喉镜 气管插管 并发症 血压

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(24)