CAJ | 학술논문

目的：研究接受全身麻醉甲状腺手术的患者使用光导纤维支气管镜（fiberoptic bronchoscope， FOB）和 GlideScope 视频喉镜（GlideScope video laryngo-scope，GSVL）经口气管插管的血流动力学反应及其并发症。方法拟行经口气管插管全身麻醉甲状腺手术患者80例，美国麻醉医师协会Ⅰ～Ⅲ级，年龄23～70岁，随机分为 FOB 组和 GSVL 组，每组40例。常规麻醉诱导后，分别采用 FOB 或者 GSVL 实施经口气管插管，记录麻醉诱导前（基础值）、气管插管前、气管插管即刻以及气管插管后1、2、3、5、10 min 时的血压和心率。观察患者气管插管的血流动力学变化及其并发症。结果2组患者血流动力学指标变化差异无统计学意义，但与 GSVL 组相比，FOB 组患者气管插管1次成功率高、插管时间短、术后并发症发生率低。结论FOB 与 GSVL均可减轻气管插管的血流动力学反应。与 GSVL 相比，FOB 在提高气管插管成功率及减少其相关并发症方面具有优势。
목적：연구접수전신마취갑상선수술적환자사용광도섬유지기관경（fiberoptic bronchoscope， FOB）화 GlideScope 시빈후경（GlideScope video laryngo-scope，GSVL）경구기관삽관적혈류동역학반응급기병발증。방법의행경구기관삽관전신마취갑상선수술환자80례，미국마취의사협회Ⅰ～Ⅲ급，년령23～70세，수궤분위 FOB 조화 GSVL 조，매조40례。상규마취유도후，분별채용 FOB 혹자 GSVL 실시경구기관삽관，기록마취유도전（기출치）、기관삽관전、기관삽관즉각이급기관삽관후1、2、3、5、10 min 시적혈압화심솔。관찰환자기관삽관적혈류동역학변화급기병발증。결과2조환자혈류동역학지표변화차이무통계학의의，단여 GSVL 조상비，FOB 조환자기관삽관1차성공솔고、삽관시간단、술후병발증발생솔저。결론FOB 여 GSVL균가감경기관삽관적혈류동역학반응。여 GSVL 상비，FOB 재제고기관삽관성공솔급감소기상관병발증방면구유우세。
Objective To research the hemodynamic responses and complications of orotra -cheal intubation with fiberoptic bronchoscope (FOB) and GlideScope video laryngo-scope (GSVL). Methods Eighty American Society of Anesthesiologists (ASA) grade Ⅰ-Ⅲ patients (34 male,46 female)aged 23 - 70 yrs weighing 42 - 112 kg scheduled for thyroid surgery under general anesthesia with tracheal intubation were randomly divided into 2 groups(n=40 for each group):FOB group and GSVL group.After induction of anesthesia,orotracheal intubation was performed with FOB or GSVL . Noninvasive blood pressure (BP),heart rate (HR) and bispectral index (BIS) were recorded at the time before induction,the time before and the time of tracheal intubation , and at 1,2,3,5,10 min after tracheal intubafion completed to observe the hemodynamic response and complications of the in -tratracheal intubation.Results The hemodynamic responses to intubation were not significantly different between GSVL group and FOB group ,but compared with GSVL group ,FOB group had higher one-time success rate and shorter intubation time was .There were less complications of intubation observed in FOB group compared with GSVL group .Conclusion FOB and GSVL can both prevent the hemodynamic responses to intubation ,and FOB has advantage in improving one-time success rate and reducing complications produced by intubation .