CAJ | 학술논문

目的：评价纤维支气管镜（ FOB）联合Glidescope视频喉镜用于前路颈椎手术患者经鼻气管插管的效果。方法：择期颈椎手术的患者42例， ASA分级Ⅰ级或Ⅱ级，采用随机数字表法，将患者分为2组（ n＝21）：纤维支气管镜联合Glidescope视频喉镜组（A组）和单纯纤维支气管镜引导组（B组），麻醉慢诱导后，行经鼻清醒气管插管。记录气管插管时间、气管插管成功情况；记录气管插管期间低氧血症的发生情况及术后不良反应的发生等。结果：与FOB组比较，A组气管插管时间缩短，一次插管成功率明显升高（P＜0．05）。两组气管插管期间均未见低氧血症发生、插管前后血流动力学变化无差异（P＞0．05）。结论：纤维支气管镜（ FOB）联合Glidescope视频喉镜引导经鼻气管插管时可减少插管时间，提高首次插管成功概率。
목적：평개섬유지기관경（ FOB）연합Glidescope시빈후경용우전로경추수술환자경비기관삽관적효과。방법：택기경추수술적환자42례， ASA분급Ⅰ급혹Ⅱ급，채용수궤수자표법，장환자분위2조（ n＝21）：섬유지기관경연합Glidescope시빈후경조（A조）화단순섬유지기관경인도조（B조），마취만유도후，행경비청성기관삽관。기록기관삽관시간、기관삽관성공정황；기록기관삽관기간저양혈증적발생정황급술후불량반응적발생등。결과：여FOB조비교，A조기관삽관시간축단，일차삽관성공솔명현승고（P＜0．05）。량조기관삽관기간균미견저양혈증발생、삽관전후혈류동역학변화무차이（P＞0．05）。결론：섬유지기관경（ FOB）연합Glidescope시빈후경인도경비기관삽관시가감소삽관시간，제고수차삽관성공개솔。
Objective: To evaluate the efficacy of combined use of fiberoptic Bronchoscope(FOB) with the glidescope videolaryngoscopy guided nasotra-cheal intubation in patients undergoing anterior cervical surgery.Methods: By the table of random digit, 42 patients(ASA Ⅰ-Ⅱ) undergone selective anterior cervical surgery were equally allocated to combined FOB with the glidescope videolaryngoscopy group(group A)and simple FOB group(group B). Awake endotracheal intubation was performed for the two groups of patients after slow induction , and the information was maintained regarding teh intuba-tion time, successful performance, and incidences of hypoxemia in intubation and postoperative advsere events in the two groups .Results: Group A re-quired shorter time for intubation and had a hihger successful intubation at one time compared with group B ( P<0 .05 ) , and yet no significant incidence of hyoxemia in intubation and hemodynamic variation occurred before and after intubation in the two groups(P>0.05).Conclusion: Combined use of FOB with the glidescope videolaryngoscopy may reduce the tracheal intubation time and imporve the successful performance for patients undergoing anterior cervical surgery.