CAJ | 학술논문

目的探讨HC视频喉镜引导双腔导管气管插管的效果.方法将70例胸科手术患者随机分为2组:HC视频喉镜组(H组,n=35)和Macintosh喉镜组(M组,n=35).诱导后分别用两种喉镜引导经口插管,对两组患者声门暴露级别、插管时间和血流动力学指标进行分析.结果 H组声门暴露满意率(97.1％)高于M组(60.0％,P＜0.05),H组插管总时间[(60.71±8.33)s长于M组(49.47±10.83)s,P＜0.05].结论与Macintosh喉镜比较,HC视频喉镜引导双腔导管气管插管时间较长,但其能够改善声门暴露程度,可作为胸科困难气道患者的备选插管工具；环状软骨按压可提高两种喉镜引导双腔导管气管插管的成功率.
목적 탐토HC시빈후경인도쌍강도관기관삽관적효과.방법 장70례흉과수술환자수궤분위2조:HC시빈후경조(H조,n=35)화Macintosh후경조(M조,n=35).유도후분별용량충후경인도경구삽관,대량조환자성문폭로급별、삽관시간화혈류동역학지표진행분석.결과 H조성문폭로만의솔(97.1％)고우M조(60.0％,P＜0.05),H조삽관총시간[(60.71±8.33)s장우M조(49.47±10.83)s,P＜0.05].결론 여Macintosh후경비교,HC시빈후경인도쌍강도관기관삽관시간교장,단기능구개선성문폭로정도,가작위흉과곤난기도환자적비선삽관공구；배상연골안압가제고량충후경인도쌍강도관기관삽관적성공솔.
Objective To compare the effects of double-lumen tube placement between HC videolaryngoscope and Macintosh laryngoscope.Methods Seventy ASA Ⅰ or Ⅱ patients,aged 18-60 years old,with body mass index of 18-24 kg/m2,undergoing elective thoracic surgery,were randomly divided into two groups:HC video-laryngoscope group (group H,n =35) and Macintosh laryngoscope group (group M,n =35).The patients of two groups were intubated respectively by two laryngoscopes after induction.The glottal exposed grade,the intubation time and hemodynamic parameters were recorded.Results The glottal exposed satisfaction rate was significantly higher in group H (97.1％) than in group M (60.0％)(P ＜0.05).The total intubation time was significantly longer in group H [(60.71 ± 8.33) s] than in group M [(49.47-± 10.83) s] (P ＜ 0.05).The glottal exposed time and hemodynamic changes between the two groups had no significant difference (P ＞ 0.05).Conclusion HC video-laryngoscope,compared with the Macintosh laryngoscope for double-lumen tube intubation,can provide better glottic exposure view,but the total intubation time is significantly longer for double-lumen tube intubation using HC video-laryngoscope than Macintosh laryngoscope.Cricoid pressure can improve the intubation success rate of the two laryngoscopes.