CAJ | 학술논문

目的：：比较光棒和直接喉镜在缺齿无齿老年患者经口气管插管麻醉中的应用，寻找有效的插管方法。方法：缺齿无齿老年患者60例随机分为光棒组( L组)和直接喉镜组( M组)。比较麻醉诱导前、麻醉诱导后气管插管前、气管插管后5 min患者的收缩压、舒张压和心率的变化，以及2组插管成功率、插管后并发症发生率。结果：2组插管成功率皆100%；M 组气管插管后5min的血压和心率均较L组升高(P<0.05~P<0.01)。2组插管成功后口腔咽喉黏膜和牙龈牙齿损伤、术后咽痛和声音嘶哑发生率差异均无统计学意义(P>0.05)。结论：光棒引导经口气管插管用于缺齿无齿老年患者插管，具全麻诱导，简便、有效、安全，值得推广应用。
목적：：비교광봉화직접후경재결치무치노년환자경구기관삽관마취중적응용，심조유효적삽관방법。방법：결치무치노년환자60례수궤분위광봉조( L조)화직접후경조( M조)。비교마취유도전、마취유도후기관삽관전、기관삽관후5 min환자적수축압、서장압화심솔적변화，이급2조삽관성공솔、삽관후병발증발생솔。결과：2조삽관성공솔개100%；M 조기관삽관후5min적혈압화심솔균교L조승고(P<0.05~P<0.01)。2조삽관성공후구강인후점막화아간아치손상、술후인통화성음시아발생솔차이균무통계학의의(P>0.05)。결론：광봉인도경구기관삽관용우결치무치노년환자삽관，구전마유도，간편、유효、안전，치득추엄응용。
Objective:To compare the application value of lightwand and direct laryngoscope in oral trachea cannula anesthesia of patients with missing or no tooth for finding an effective method. Methods:Sixty elderly patients with missing or no tooth were randomly divided into the lightwand group ( group L ) and direct laryngoscope group ( group M ) . The systolic blood pressure, diastolic blood pressure and heart rate of patients before anesthesia induction, before and trachea cannula and at 5 min after trachea cannula, the success rate of trachea cannula and the incidence of complication after trachea cannula between two groups were compared. Results:The success rates of intubation of two groups were 100%. The blood pressure and heart rate in group M at 5 min after trachea cannula were significantly higher than those in group L(P<0. 05 to P<0. 01). The differences of the tooth injury,postoperative sore throat and hoarseness between two groups after trachea cannula were not statistically significant(P>0. 05). Conclusions:The oral trachea cannula guided by lightwand in elderly patients with missing or no tooth is simple,effective and less injury,which is worthy of popularization and applicat.