中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
29期
47-49,50
,共4页
HC可视喉镜%气管插管%急诊
HC可視喉鏡%氣管插管%急診
HC가시후경%기관삽관%급진
HC visual laryngoscope%Endotracheal intubation%Emergency
目的：探讨HC可视喉镜在急诊紧急插管中的临床使用效果。方法：选取本院急诊科2013年1月-2014年1月收治的80例需采取紧急插管方式的急救患者，按照随机数字表法将其分为观察组和对照组各40例，其中观察组采用HC可视喉镜；对照组采用普通光纤喉镜。观察比较两组患者的气管插管声门暴露时间、暴露声门成功率、插管1次成功率、插管次数、插管时间等，以及两组在插管前后的血氧饱和度、血流动力学指标及插管后的并发症发生情况。结果：观察组的声门暴露成功率100%（40/40）明显高于对照组的67.5%（27/40），声门暴露时间及插管时间分别为（4.13±5.27）s和（28.89±6.03）s，均明显短于对照组的（7.26±6.19）s和（54.46±5.79）s，且插管1次成功率87.50%明显高于对照组的52.50%，插管后3 min的血氧饱和度（83.14±8.17）%明显高于对照组的（75.93±7.48）%，而观察组在插管即刻及插管后3 min的心率及平均动脉压均明显低于对照组，不良反应发生率22.5%（9/40）明显低于对照组的80.0%（32/40），差异均有统计学意义（P<0.05），而两组术后并发症发生率无明显差异（P>0.05）。结论：使用HC可视喉镜能够提高插管1次成功率，缩短插管时间，并能够快速改善患者氧合，提高抢救效率，值得临床推广。
目的：探討HC可視喉鏡在急診緊急插管中的臨床使用效果。方法：選取本院急診科2013年1月-2014年1月收治的80例需採取緊急插管方式的急救患者，按照隨機數字錶法將其分為觀察組和對照組各40例，其中觀察組採用HC可視喉鏡；對照組採用普通光纖喉鏡。觀察比較兩組患者的氣管插管聲門暴露時間、暴露聲門成功率、插管1次成功率、插管次數、插管時間等，以及兩組在插管前後的血氧飽和度、血流動力學指標及插管後的併髮癥髮生情況。結果：觀察組的聲門暴露成功率100%（40/40）明顯高于對照組的67.5%（27/40），聲門暴露時間及插管時間分彆為（4.13±5.27）s和（28.89±6.03）s，均明顯短于對照組的（7.26±6.19）s和（54.46±5.79）s，且插管1次成功率87.50%明顯高于對照組的52.50%，插管後3 min的血氧飽和度（83.14±8.17）%明顯高于對照組的（75.93±7.48）%，而觀察組在插管即刻及插管後3 min的心率及平均動脈壓均明顯低于對照組，不良反應髮生率22.5%（9/40）明顯低于對照組的80.0%（32/40），差異均有統計學意義（P<0.05），而兩組術後併髮癥髮生率無明顯差異（P>0.05）。結論：使用HC可視喉鏡能夠提高插管1次成功率，縮短插管時間，併能夠快速改善患者氧閤，提高搶救效率，值得臨床推廣。
목적：탐토HC가시후경재급진긴급삽관중적림상사용효과。방법：선취본원급진과2013년1월-2014년1월수치적80례수채취긴급삽관방식적급구환자，안조수궤수자표법장기분위관찰조화대조조각40례，기중관찰조채용HC가시후경；대조조채용보통광섬후경。관찰비교량조환자적기관삽관성문폭로시간、폭로성문성공솔、삽관1차성공솔、삽관차수、삽관시간등，이급량조재삽관전후적혈양포화도、혈류동역학지표급삽관후적병발증발생정황。결과：관찰조적성문폭로성공솔100%（40/40）명현고우대조조적67.5%（27/40），성문폭로시간급삽관시간분별위（4.13±5.27）s화（28.89±6.03）s，균명현단우대조조적（7.26±6.19）s화（54.46±5.79）s，차삽관1차성공솔87.50%명현고우대조조적52.50%，삽관후3 min적혈양포화도（83.14±8.17）%명현고우대조조적（75.93±7.48）%，이관찰조재삽관즉각급삽관후3 min적심솔급평균동맥압균명현저우대조조，불량반응발생솔22.5%（9/40）명현저우대조조적80.0%（32/40），차이균유통계학의의（P<0.05），이량조술후병발증발생솔무명현차이（P>0.05）。결론：사용HC가시후경능구제고삽관1차성공솔，축단삽관시간，병능구쾌속개선환자양합，제고창구효솔，치득림상추엄。
Objective:To investigate the clinical use effect of HC visual laryngoscope in emergency intubation.Method:80 emergency patients needed emergency intubation way in our emergency from January 2013 to January 2014 were selected,they were divided into the observation group and the control group according to the random number table method,40 cases in each group.The observation group was given HC visual laryngoscope and the control group was given ordinary fiber laryngoscope.The endotracheal intubation glottis exposure time,exposure to the success rate of the glottis,once success rate of intubation,the number of intubation,intubation time of the two groups were compared,and the oxygen saturation,blood dynamics and other indicators of the two groups of patients before and after intubation were compared,and after intubation complication rate of the two groups of patients were compared.Result:The exposure to the success rate of the glottis of observation group was 100%(40/40),it was significantly higher than 67.5%(27/40)of control group, the endotracheal intubation glottis exposure time and intubation time of observation group were(4.13±5.27)s and(28.89±6.03)s,they were significantly shorter than(7.26±6.19)s and(54.46±5.79)s of control group,once success rate of intubation of observation group was 87.50%,it was significantly higher than 52.50%of control group, oxygen saturation of 3 min after intubation was(83.14±8.17)%,it was significantly higher than(75.93±7.48)%of control group,HR and MAP at intubation and 3 min after intubation of observation group were significantly lower than those of control group,and incidence of adverse reaction was 22.5%(9/40),it was significantly lower than 80.0%(32/40)of control group,the differences were statistically significant(P<0.05).There was no significant difference in the incidence of postoperative complications between two groups(P>0.05).Conclusion:Using HC visual laryngoscope can improve once success rate of intubation,shorten the time of intubation and can quickly improve oxygenation,improve the rescue efficiency,is worthy of clinical promotion.
