首页|可视喉镜在困难气道气管插管手术中的应用

可视喉镜在困难气道气管插管手术中的应用

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目的:探讨可视喉镜在困难气道气管插管手术中的应用。方法:选取 2020 年 4 月—2022 年 4 月东莞市黄江医院急诊科收治的 90 例困难气道气管插管手术患者。根据随机数表法将其分为对照组与研究组,各 45 例。对照组进行直接喉镜干预,研究组进行可视喉镜干预。比较两组相关指标,并发症,插管前、插管后 1 min、插管后 3 min血流动力学。结果:研究组插管时间、声门暴露时间均短于对照组,插管次数少于对照组,一次性插管成功率和光纤Campbell Ⅰ级、Ⅱ级率均高于对照组,差异有统计学意义(P<0。05)。研究组并发症发生率为 13。33%,显著低于对照组的 33。33%,差异有统计学意义(P<0。05)。插管后 1 min、3 min,研究组心率及平均动脉压均低于对照组,差异有统计学意义(P<0。05)。结论:对困难气道气管插管手术患者,使用可视喉镜能够提高插管工作效率,稳定患者血流动力学,从而能减少并发症发生,安全性较高。
Application of Visual Laryngoscope in Tracheal Intubation Surgery of Difficult Airway
Objective:To explore the application of visual laryngoscope in tracheal intubation surgery of difficult airway.Method:A total of 90 patients with difficult airway undergoing tracheal intubation surgery admitted to the Emergency Department of Dongguan Huangjiang Hospital from April 2020 to April 2022 were selected.According to the method of random number table,they were divided into control group and study group,45 cases in each group.The control group underwent direct laryngoscope intervention,and the study group underwent visual laryngoscope intervention.The relevant indexes,complications,hemodynamics before intubation and 1 min after intubation and 3 min after intubation were compared between the two groups.Result:The intubation time and glottis exposure time of the study group were shorter than those of the control group,and the intubation frequency was less than that of the control group,the success rate of one-time intubation and the rate of fiber Campbell Ⅰ grade and Ⅱ grade were higher than those of the control group,and the difference were statistically significant(P<0.05).The incidence of complication of the study group was 13.33%,which was significantly lower than 33.33%of the control group,and the difference was statistically significant(P<0.05).At 1 min and 3 min after intubation,the heart rate and mean arterial pressure of the study group were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusion:For patients undergoing tracheal intubation surgery with difficult airway,the use of visual laryngoscope can improve the efficiency of intubation work and stabilize the hemodynamics of patients,thus reducing the occurrence of complications with high safety.

Visual laryngoscopeDifficult airwayTracheal intubation

朱远华、李锋华、谢丹华、钱进、袁嫦、喻平

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东莞市黄江医院 广东 东莞 523750

可视喉镜 困难气道 气管插管

东莞市社会科技发展一般项目

202050715041878

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(6)
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