CAJ | 학술논문

目的：比较带导槽与无导槽视频喉镜用于侧卧位时气管插管的效果。方法选取择期行全身麻醉气管插管手术的患者160例，性别不限，年龄18～65岁，asaⅠ～Ⅲ级，采用随机数字表法将患者随机分为带导槽右侧卧位组（a组）、带导槽左侧卧位组（B组）、无导槽右侧卧位组（c组）和无导槽左侧卧位组（d组），每组40例。a、B组采用airtraq?视频喉镜引导气管插管，c、d两组采用鑫泰科视频喉镜引导气管插管。记录气管插管成功率，插管次数及气管插管成功时间以及相关并发症情况。结果所有患者均完成气管插管。插管时间比较，a、B两组时间明显短于c、d组（P＜0.05）。插管次数比较，c组插管次数多于a、B两组（P＜0.05）。各组并发症情况差异无统计学意义（P＞0.05）。结论带导槽与无导槽视频喉镜都适用于侧卧位的气管插管术，而带导槽视频喉镜可减少插管次数、减少插管所需时间，使得侧卧位等特殊体位下气管插管更为安全和有效。
목적：비교대도조여무도조시빈후경용우측와위시기관삽관적효과。방법선취택기행전신마취기관삽관수술적환자160례，성별불한，년령18～65세，asaⅠ～Ⅲ급，채용수궤수자표법장환자수궤분위대도조우측와위조（a조）、대도조좌측와위조（B조）、무도조우측와위조（c조）화무도조좌측와위조（d조），매조40례。a、B조채용airtraq?시빈후경인도기관삽관，c、d량조채용흠태과시빈후경인도기관삽관。기록기관삽관성공솔，삽관차수급기관삽관성공시간이급상관병발증정황。결과소유환자균완성기관삽관。삽관시간비교，a、B량조시간명현단우c、d조（P＜0.05）。삽관차수비교，c조삽관차수다우a、B량조（P＜0.05）。각조병발증정황차이무통계학의의（P＞0.05）。결론대도조여무도조시빈후경도괄용우측와위적기관삽관술，이대도조시빈후경가감소삽관차수、감소삽관소수시간，사득측와위등특수체위하기관삽관경위안전화유효。
Objective The aim of the present study is to compare the applicability and efficacy of two alternative techniques: intubation of patients in the lateral decubitus position using video laryngoscopes with or without guide channel.Method160 patients presenting for surgeries requiring tracheal intubation were randomly assigned to 4 groups: group a, B, c, d (n=40 respectively). in group a and B, intubation was performed by the airtraq ? video laryngoscope, while in group c and d, intubation was performed by the Xintaike video laryngoscope. Patients in group a and c were intubated in right lateral decubitus, while patients in group B and d in left lateral decubitus. The success rate, time needed for successful intubation, number of attempts and complications were recorded.Result all patients were successfully intubated. intubation in group c and d were completed with significantly longer time than group a and B (P<0.05).The number of attempts were greater in group c when compared with those of group a and B (P<0.05). There was no difference in complications (P>0.05).Conclusion Video laryngoscopes, with or without guide channel, are applicable for tracheal intubation in lateral decubitus position. The laryngoscope with guide channel could reduce the time needed for successful intubation and number of attempts, making it safer and more effective on intubation in some non-conventional positions like lateral decubitus position.