CAJ | 학술논문

目的：通过对麻醉初学者应用视频喉镜与帝视内窥镜进行气管插管学习情况的比较，探讨两种可视技术的教学效果。方法麻醉初学者30名经培训后，采用视频喉镜和帝视内窥镜，分别为6名择期手术的全麻患者行气管插管，每种技术为3名患者进行气管插管。观察初学者气管插管操作成功的用时、三次气管插管的首次插管成功率；咽喉部损伤及术后咽痛的发生率；记录初学者对两种技术难易程度的评价。结果180名患者参与本研究，视频喉镜组气管插管成功时间显著短于帝视内窥镜组；三次气管插管首次插管成功率显著高于帝视内窥镜组（P<0.05），术后咽痛差异无统计学意义。视频喉镜组初学者评价明显较帝视内窥镜组容易。结论与帝视内窥镜比较，初学者采用视频喉镜气管插管成功率更高、插管时间更短，更易学习并掌握。
목적：통과대마취초학자응용시빈후경여제시내규경진행기관삽관학습정황적비교，탐토량충가시기술적교학효과。방법마취초학자30명경배훈후，채용시빈후경화제시내규경，분별위6명택기수술적전마환자행기관삽관，매충기술위3명환자진행기관삽관。관찰초학자기관삽관조작성공적용시、삼차기관삽관적수차삽관성공솔；인후부손상급술후인통적발생솔；기록초학자대량충기술난역정도적평개。결과180명환자삼여본연구，시빈후경조기관삽관성공시간현저단우제시내규경조；삼차기관삽관수차삽관성공솔현저고우제시내규경조（P<0.05），술후인통차이무통계학의의。시빈후경조초학자평개명현교제시내규경조용역。결론여제시내규경비교，초학자채용시빈후경기관삽관성공솔경고、삽관시간경단，경역학습병장악。
Objective To discuss the teaching effect of the application of video laryngoscope and Discopo endoscope by comparing the novice anesthesiologists’ learning process of these two kinds of visual technology in endotracheal intubation.Method General anesthesia endotracheal intubation was performed on 6 selective operation patients respectively by 30 trained novice anesthesiologists using video laryngoscope or Discopo endoscope (each technique for 3 patients). The successful intubation time, the first-time successful intubation rate of the three-time endotracheal intubation, throat injury and the incidence of postoperative sore throat were observed and the novice anesthesiologists’ evaluations about the difficulty of two methods were recorded.Result The study involved 180 patients. The successful intubation time of video laryngoscope group was significantly shorter than that of Discopo endoscope group;the first-time successful intubation rate of the three-time endotracheal intubation of video laryngoscope group was significantly higher than that of Discopo endoscope group (P<0.05). No statistically significant difference was found in postoperative sore throat. Video laryngoscope was significantly easier than Discopo endoscope according to the novice anesthesiologists’ evaluations.Conclusion Compared with Discopo endoscope, video laryngoscope has higher success rate of endotracheal intubation, shorter intubation time and is easier to learn and grasp for novice anesthesiologists.