CAJ | 학술논문

目的观察自制麦克风光棒联合导管芯在困难气管插管中的临床应用效果. 方法 42例已预料困难气道行气管插管全麻患者,按随机数字表法分为自制麦克风光棒联合导管芯气管插管组(Ⅰ组)和普通喉镜气管插管组(Ⅱ组),每组21例.记录两组患者的一次插管成功率、插管时间,观察气管插管并发症如插管即刻的血流动力学改变、口咽黏膜出血以及术后6h的咽喉疼痛和声音嘶哑情况. 结果与Ⅱ组比较,Ⅰ组的一次插管成功率(90.5％vs 57.1％)明显增高(R＜0.05),插管时间(86±19)s vs(276±36)s明显缩短(P＜0.05);Ⅰ组的插管即刻血流动力学改变、口咽黏膜出血、术后6h咽喉痛和声音嘶哑明显少于Ⅱ组(P＜0.05). 结论自制麦克风光棒联合导管芯对困难气管插管是一种比较安全、有效的方法,有一定临床应用价值.
목적 관찰자제맥극풍광봉연합도관심재곤난기관삽관중적림상응용효과. 방법 42례이예료곤난기도행기관삽관전마환자,안수궤수자표법분위자제맥극풍광봉연합도관심기관삽관조(Ⅰ조)화보통후경기관삽관조(Ⅱ조),매조21례.기록량조환자적일차삽관성공솔、삽관시간,관찰기관삽관병발증여삽관즉각적혈류동역학개변、구인점막출혈이급술후6h적인후동통화성음시아정황. 결과 여Ⅱ조비교,Ⅰ조적일차삽관성공솔(90.5％vs 57.1％)명현증고(R＜0.05),삽관시간(86±19)s vs(276±36)s명현축단(P＜0.05);Ⅰ조적삽관즉각혈류동역학개변、구인점막출혈、술후6h인후통화성음시아명현소우Ⅱ조(P＜0.05). 결론 자제맥극풍광봉연합도관심대곤난기관삽관시일충비교안전、유효적방법,유일정림상응용개치.
Objective To study the clinical efficacy of self-made microphone light wand in patients with difficult airway.Methods 42 patients with difficult airway scheduled for tracheal intubation were randomly divided into two groups,21 cases in each group.Self-made microphone light wand was used in group Ⅰ,while laryngoscope was used in group lⅡ.The first successful rate of intubation and the time of intubation were recorded.Hemodynamic change and the complications of intubation were observed in all patients.Results There were no difference in age,sex and weight between two groups (P＞0.05).The first successful rate of intubation in group Ⅰ was significantly higher than that in group Ⅱ (90.5％ vs 57.1％,P＜0.05),the time of intubation decreased significantly in group Ⅰ [(86±19) s vs (276±36) s,P＜0.05].Compared with group lⅡ,the complications of intubation such as hemodynamic change,oropharyngeal mucosal hemorrhage,sore throat and hoarseness in group Ⅰ were better(P＜0.05).Conclusions Self-made microphone light wand is relatively safe,effective and promising in patients with difficult airway.