CAJ | 학술논문

目的：比较应用视可尼喉镜与普通喉镜对无困难气道患者气管插管时的心血管反应。方法：选择80例ASAⅠ～Ⅱ级全身麻醉患者，包括非高血压组40例（ N组）和高血压组40例（ H组），根据插管器械不同两组又随机分成普通喉镜组（L组）和视可尼喉镜组（S组），比较四组患者麻醉诱导前后血流动力学改变，插管时间及气管插管并发症。结果：视可尼喉镜气管插管时和插管后的各项血流动力学指标均显著低于普通喉镜组（P＜0．05），普通喉镜组和视可尼喉镜组插管时间及插管并发症差异均有统计学意义（P ＜0．05）。结论：对于全麻气管插管患者，采用视可尼光斑法行气管插管可减少患者的血流动力学反应，缩短气管插管的时间，减少气管插管的并发症。
목적：비교응용시가니후경여보통후경대무곤난기도환자기관삽관시적심혈관반응。방법：선택80례ASAⅠ～Ⅱ급전신마취환자，포괄비고혈압조40례（ N조）화고혈압조40례（ H조），근거삽관기계불동량조우수궤분성보통후경조（L조）화시가니후경조（S조），비교사조환자마취유도전후혈류동역학개변，삽관시간급기관삽관병발증。결과：시가니후경기관삽관시화삽관후적각항혈류동역학지표균현저저우보통후경조（P＜0．05），보통후경조화시가니후경조삽관시간급삽관병발증차이균유통계학의의（P ＜0．05）。결론：대우전마기관삽관환자，채용시가니광반법행기관삽관가감소환자적혈류동역학반응，축단기관삽관적시간，감소기관삽관적병발증。
Objective:To compare the hemodynamic response to orotra-cheal intubation using Shikani laryngoscope and direct laryngoscope in pa-tients without difficult airway.Methods: Eighty patients of ASA Ⅰ -Ⅱunder general anesthesia were initially allocated to non-hypertensive group ( group N; n =40 ) and hypertension group ( group H;n =40 ) , and sub-grouped into direct laryngoscopy ( group L ) and Shikani laryngoscopy ( group S) on the device used basis.The four groups were compared perti-nent to hemodynamic changes before and after anesthesia induction ,intu-bation time and complications in endotracheal intubation .Results: Lower hemodynamic indicators during and after intubation were seen in group S as compared with group L(P<0.05),and group S and group L were sta-tistically different regarding the intubation time and complications from in-tubation(P<0.05).Conclusion: Shikani laryngoscopy with “spot meth-od” may reduce the hemodynamic response to endotracheal intubation and the intubation time as well as complications from intubation for patient un-der general endotracheal anesthesia.