CAJ | 학술논문

目的比较McGrath可视喉镜与Macintosh直接喉镜显露颈椎手术患者喉部结构的效果. 方法 50例颈椎手术患者采用随机数字表法随机分为McGrath组和Macintosh组,每组25例.麻醉诱导后,McGrath组先用Macintosh直接喉镜显露喉部结构并记录Cormack-Lehane分级(C/L分级),不插管,再改用McGrath可视喉镜显露喉部结构并插入气管导管.Macintosh组先用McGrath可视喉镜显露声门,再使用Macintosh直接喉镜显露喉部结构并插管.记录患者一般情况、气道评估指标(甲颏间距、张口度、Mallampati分级、颈部活动度)、喉镜显露C/L分级和插管并发症. 结果两组间患者一般情况和气道评估指标差异无统计学意义(P＞0.05).McGrath可视喉镜的C/L分级(Ⅰ级∶Ⅱ级∶Ⅲ级为34∶14∶2)显著优于Macintosh直接喉镜(Ⅰ级∶Ⅱ级∶Ⅲ级为13∶32∶5,P＜0.01). 结论 McGrath可视喉镜对喉部结构的显露优于Macintosh直接喉镜,提示该可视喉镜有助于颈椎手术患者的气管插管处理.
목적 비교McGrath가시후경여Macintosh직접후경현로경추수술환자후부결구적효과. 방법 50례경추수술환자채용수궤수자표법수궤분위McGrath조화Macintosh조,매조25례.마취유도후,McGrath조선용Macintosh직접후경현로후부결구병기록Cormack-Lehane분급(C/L분급),불삽관,재개용McGrath가시후경현로후부결구병삽입기관도관.Macintosh조선용McGrath가시후경현로성문,재사용Macintosh직접후경현로후부결구병삽관.기록환자일반정황、기도평고지표(갑해간거、장구도、Mallampati분급、경부활동도)、후경현로C/L분급화삽관병발증. 결과 량조간환자일반정황화기도평고지표차이무통계학의의(P＞0.05).McGrath가시후경적C/L분급(Ⅰ급∶Ⅱ급∶Ⅲ급위34∶14∶2)현저우우Macintosh직접후경(Ⅰ급∶Ⅱ급∶Ⅲ급위13∶32∶5,P＜0.01). 결론 McGrath가시후경대후부결구적현로우우Macintosh직접후경,제시해가시후경유조우경추수술환자적기관삽관처리.
Objective To compare the laryngeal viewing of the McGrath videolaryngoscope and the Macintosh laryngoscope in patients receiving cervical vertebral surgery.Methods Fifty patients scheduled for elective cervical vertebral surgery were randomly divided into McGrath and Macintosh groups (n=25).After induction,the patients' glottis in McGrath group was displayed by the Macintosh laryngoscope and the Cormack Lehane (C/L) grade was recorded,and then the McGrath videolaryngoscope was employed to display the laryngeal structure.The order of laryngoscopy was reversed in the Macintosh group.Parameters recorded included demographics,airway assessment features (thyromental distance,mouth opening,mallampati oropharyngeal scale and neck movement),C/L grade and complications of intubation.Results There was no significant difference in demographics and airway assessment features between the two groups (P＞0.05).The C/L grade obtained with McGrath videolaryngoscope was 34∶14∶2 (Ⅰ ∶ Ⅱ ∶Ⅲ),which was significantly better than that with Macintosh laryngoscope (13∶32∶5,P＜0.01).Conclusions The McGrath videolaryngoscope has better laryngeal viewing than the Macintosh laryngoscope,and may have potential advantages in managing the intubation for cervical vertebral surgery.