CAJ | 학술논문

目的比较HC视频喉镜与Macintosh喉镜引导气管插管的效果.方法择期全麻患者60例,ASA分级Ⅰ或Ⅱ级,性别不限,年龄18 ～ 64岁,体重指数19 ～ 27 kg/m2,Mallampati分级Ⅰ或Ⅱ级,采用随机数字表法,将其随机分为2组(n=30):HC视频喉镜组(H组)和Macintosh喉镜组(M组).麻醉诱导后分别用HC视频喉镜和Macintosh喉镜引导经口气管插管.记录两组患者声门暴露时间、气管插管时间、Cormack-Lehane分级(用于计算声门暴露满意率)、环状软骨按压情况,观察气管插管并发症的发生情况.结果与M组比较,H组声门暴露满意率升高,环状软骨按压次数降低(P＜0.05).两组患者声门暴露时间、气管插管时间和气管插管并发症发生率差异无统计学意义(P＞0.05).结论 HC视频喉镜引导气管插管的效果优于Macintosh喉镜.
목적 비교HC시빈후경여Macintosh후경인도기관삽관적효과.방법 택기전마환자60례,ASA분급Ⅰ혹Ⅱ급,성별불한,년령18 ～ 64세,체중지수19 ～ 27 kg/m2,Mallampati분급Ⅰ혹Ⅱ급,채용수궤수자표법,장기수궤분위2조(n=30):HC시빈후경조(H조)화Macintosh후경조(M조).마취유도후분별용HC시빈후경화Macintosh후경인도경구기관삽관.기록량조환자성문폭로시간、기관삽관시간、Cormack-Lehane분급(용우계산성문폭로만의솔)、배상연골안압정황,관찰기관삽관병발증적발생정황.결과 여M조비교,H조성문폭로만의솔승고,배상연골안압차수강저(P＜0.05).량조환자성문폭로시간、기관삽관시간화기관삽관병발증발생솔차이무통계학의의(P＞0.05).결론 HC시빈후경인도기관삽관적효과우우Macintosh후경.
Objective To compare HC video-laryngoscope with Macintosh laryngoscope for tracheal intubation.Methods Sixty ASA Ⅰ or Ⅱ patients of both sexes,aged 18-64 yr,with body mass index 19-27 kg/m2,Mallampati grade Ⅰ-Ⅱ,undergoing elective surgery,were randomly divided into 2 groups (n =30 each):HC video-laryngoscope group (group H) and Macintosh laryngoscope (group M).After induction of anesthesia,the patients underwent orotracheal intubation assisted by HC video-laryngoscope in group H,and by Macintosh laryngoscope in group M.The glottic exposure time,intubation time,Cormack-Lehane grade,the number of pressing the cricoid and intubation-related complications were recorded.Results The rate of satisfactory glottic exposure was significantly higher and the number of pressing the cricoid was smaller in group H than in group M (P ＜ 0.05).There was no significant difference in the glottic exposure time,intubation time and incidence of intubation-related complications between the two groups (P ＞ 0.05).Conclusion The efficacy of tracheal intubation guided by HC video-laryngoscope is better than that guided by Macintosh laryngoscope.