CAJ | 학술논문

目的：比较可视喉镜与直接喉镜在手术患者气管插管中的应用效果。方法：将120例择期经口气管插管全麻手术患者随机分为可视喉镜组(T组)和直接喉镜组(M组),每组60例。监测记录诱导后插管前、插管后即测的平均动脉压(MAP)和心率(HR),并记录完成插管时间、一次插管成功率和插管相关并发症。结果：T组完成气管插管时间明显短于M组(P<0.05)；T组一次插管成功率明显高于M组( P<0.05)；T组患者术后24 h内随访咽喉痛、声嘶等并发症发生率低于M组( P<0.05)。两组患者插管后的MAP和HR与插管前比较均明显升高(P<0.05),M组患者插管后的MAP和HR高于T组(P<0.05)。结论：可视喉镜用于全麻手术患者气管插管更容易操作,成功率及安全性高,并发症少,可作为常规气管插管及困难气道插管的首选方法。
목적：비교가시후경여직접후경재수술환자기관삽관중적응용효과。방법：장120례택기경구기관삽관전마수술환자수궤분위가시후경조(T조)화직접후경조(M조),매조60례。감측기록유도후삽관전、삽관후즉측적평균동맥압(MAP)화심솔(HR),병기록완성삽관시간、일차삽관성공솔화삽관상관병발증。결과：T조완성기관삽관시간명현단우M조(P<0.05)；T조일차삽관성공솔명현고우M조( P<0.05)；T조환자술후24 h내수방인후통、성시등병발증발생솔저우M조( P<0.05)。량조환자삽관후적MAP화HR여삽관전비교균명현승고(P<0.05),M조환자삽관후적MAP화HR고우T조(P<0.05)。결론：가시후경용우전마수술환자기관삽관경용역조작,성공솔급안전성고,병발증소,가작위상규기관삽관급곤난기도삽관적수선방법。
Objective:To compare the utility of GlideScope video laryngoscope and direct laryngoscope for tracheal intubation. Methods: One hundred and twenty patients scheduled for tracheal intubation following general anesthesia were allocated to the GlideScope video laryngoscope ( group T, n=60) and direct laryngoscope group ( group M, n = 60 ) , respectively. Mean arterial pressure ( MAP ) , heart rate ( HR ) , duration of intubation, the success rate of intubation and intubation related complications were compared. Results:Compared with group M, a shorter duration of intubation, higher success rate of intubation and lower incidence rate of laryngodynia and hoarseness were associated with group T ( all P<0.05) . Intubation resulted in markedly increased MAP and HR in both groups ( both P<.05) , in particular, group M ( P<0.05) . Conclusion:Tracheal intubation with GlideScope video laryngoscope is characterized by simplicity,a higher success rate and safety and minor complications, suggesting that It should be the first line approach for difficult intubation.