CAJ | 학술논문

目的：比较SOS与直接喉镜在合并有门齿状况的老年患者气管插管中的安全性与成功率。方法：选择全麻插管下行择期手术的老年患者80例，其中门齿松动者27例，门齿残缺者32例，门齿孤立牙者21例，随机均分为SOS组（S组）和直接喉镜组（Z组）。记录并对比两组插管次数、插管时间和插管并发症情况。结果：S组患者均能一次性快速经口气管插管成功（100%），明显高于Z组（45%），而且Z组12例（25%）患者3次插管不成功改用SOS一次插管成功。S组没有一例患者因插管操作不当造成门齿损伤或脱落，而Z组有4例直接导致门齿脱落，9例导致门齿松动。S组插管时间为21（9~58）s，明显短于Z组的44（15~65）s（P<0.05）。结论：SOS对于门齿有松动、残缺、甚至孤立牙的老年患者，插管成功率高，用时短，插管并发症少，是一种安全有效的插管方法。
목적：비교SOS여직접후경재합병유문치상황적노년환자기관삽관중적안전성여성공솔。방법：선택전마삽관하행택기수술적노년환자80례，기중문치송동자27례，문치잔결자32례，문치고립아자21례，수궤균분위SOS조（S조）화직접후경조（Z조）。기록병대비량조삽관차수、삽관시간화삽관병발증정황。결과：S조환자균능일차성쾌속경구기관삽관성공（100%），명현고우Z조（45%），이차Z조12례（25%）환자3차삽관불성공개용SOS일차삽관성공。S조몰유일례환자인삽관조작불당조성문치손상혹탈락，이Z조유4례직접도치문치탈락，9례도치문치송동。S조삽관시간위21（9~58）s，명현단우Z조적44（15~65）s（P<0.05）。결론：SOS대우문치유송동、잔결、심지고립아적노년환자，삽관성공솔고，용시단，삽관병발증소，시일충안전유효적삽관방법。
Objective:To compare SOS with direct laryngoscope in safety and success rate in terms of their applications on trachea intubation of elderly patients with incisors situation. Methods:80 elderly patients undergoing general anesthesia intubation operation were selected, including 27 cases of teeth loosening, 32 cases of incomplete incisors in, 21 isolated teeth, and they were randomly divided into SOS group (group S) and direct laryngoscope group (group Z), intravenous anesthesia induction in completed respectively by SOS and direct laryngoscopy tracheal intubation. Number of intubation, intubation time and complications of intubation conditions were recorded. Results:Group S had high successful rate (100%) in orotracheal intubation, significantly higher than that in Z group (45%),and 12 cases in group Z (25%) patients with 3 times of failure of intubation with SOS a successful intubation. In group S, no patients with intubation operation were caused by the improper incisor injury or loss, while 4 cases in group Z led directly to the incisor off;9 cases lead to incisor loose. Group S intubation time was 21(9-58) s, significantly shorter in the Z group 44 (15-65) s (P<0.05). Conclusion:For the elderly patients with incisors loose, incomplete, and even the isolated teeth, SOS is a safe and effective method because of its intubation success rate, shorter time, less intubation complications.