CAJ | 학술논문

目的评价Glidescope视频喉镜辅助纤维支气管镜(FOB)用于老年患者经口气管插管的效果.方法择期行腹部手术的老年患者40例,年龄65～77岁,体重43 ～ 82 kg,ASA分级Ⅰ级或Ⅱ级,Mallampatis分级l或Ⅱ级,采用随机数字表法,将患者随机分为2组(n=20):FOB组和Glide -scope组.麻醉诱导后,行气管插管.记录气管插管时间、气管插管成功情况；记录气管插管期间低氧血症的发生情况、Glidescope视频喉镜对声门及会厌的显露情况.结果与FOB组比较,Glidescope组气管插管时间缩短,1次插管成功率升高(P＜0.05).Glidescope视频喉镜显露声门或显露部分声门15例(75％),仅显露会厌或部分会厌5例(25％).两组气管插管期间均未见低氧血症发生.结论 Glideseope视频喉镜辅助FOB引导经口气管插管时可缩短插管时间,提高首次插管成功概率,可安全有效地用于老年患者.
목적 평개Glidescope시빈후경보조섬유지기관경(FOB)용우노년환자경구기관삽관적효과.방법 택기행복부수술적노년환자40례,년령65～77세,체중43 ～ 82 kg,ASA분급Ⅰ급혹Ⅱ급,Mallampatis분급l혹Ⅱ급,채용수궤수자표법,장환자수궤분위2조(n=20):FOB조화Glide -scope조.마취유도후,행기관삽관.기록기관삽관시간、기관삽관성공정황；기록기관삽관기간저양혈증적발생정황、Glidescope시빈후경대성문급회염적현로정황.결과 여FOB조비교,Glidescope조기관삽관시간축단,1차삽관성공솔승고(P＜0.05).Glidescope시빈후경현로성문혹현로부분성문15례(75％),부현로회염혹부분회염5례(25％).량조기관삽관기간균미견저양혈증발생.결론 Glideseope시빈후경보조FOB인도경구기관삽관시가축단삽관시간,제고수차삽관성공개솔,가안전유효지용우노년환자.
Objective To evaluate the efficacy of fiberoptic bronchoscope(FOB)-guided orotracheal intubation with Glidescope videolaryngoscopy in elderly patients.Methods Forty ASA Ⅰ or Ⅱ patients,agaed 65-77yr,weighing 43-82 kg,scheduled for abdominal surgery under general anesthesia with trcheal intubation,were randomly divided into 2 groups ( n =20 each):group FOB and FOB-guided tracheal intubation with Glidescope videolaryngoscopy(group Glidescope).Anesthesia was induced with mideazolam 0.04 mg/kg,cis-atracutium 0.2 mg/kg,fentany 2-3 μg/kg and propofol 1.5 mg/kg,orotracheal intubation was performed 3 min after intravenous cis-artracurium.The intubation time,success rate of orotracheal intubation and hypoxemia were recorded.The number of glottic exposure,epiglottic exposure with Glidescope videolargngoscopy were recorded in group Glidescope.Results The intubation time was shorter and success rate of orotracheal intubation at first attempt was higher in group Glidescope than in group FOB ( P ＜ 0.05).The number of glottic exposure with Glideseope videolaryngoscopy was 15 patients(75％ ) and epiglottic exposure was 5 patients(25％ ) in group Glidescope.Hypoxemia was not found in the two groups.Conclusion FOB-guided orotracheal intubation with Glidescope videolaryngoscopy shorten the intubation time and higher success rate,and can be used effectively in the elderly patients.