CAJ | 학술논문

目的：比较颌面部骨折术中HC可视喉镜和普通喉镜经鼻气管插管的效果。方法择期行颌面部骨折内固定术患者50例，随机分为两组，分别采用HC可视喉镜组（H组）和普通喉镜组（P组）引导下经鼻腔气管插管，记录直接喉镜下声门显露情况、气管插管时间、喉外压迫例数、Magil插管钳辅助例数、喉镜沾血发生率以及术后咽痛不适发生率。结果 H组声门暴露分级，插管时间明显低于P组(<0.05)，需要Magil插管钳辅助、喉外压迫次数，喉镜沾血发生率均低于P组。结论 HC可视喉镜在颌面部骨折内固定术中引导鼻腔气管插管具有视野暴露好、插管迅速、损伤小、成功率高等优点，值得推广使用。
목적：비교합면부골절술중HC가시후경화보통후경경비기관삽관적효과。방법택기행합면부골절내고정술환자50례，수궤분위량조，분별채용HC가시후경조（H조）화보통후경조（P조）인도하경비강기관삽관，기록직접후경하성문현로정황、기관삽관시간、후외압박례수、Magil삽관겸보조례수、후경첨혈발생솔이급술후인통불괄발생솔。결과 H조성문폭로분급，삽관시간명현저우P조(<0.05)，수요Magil삽관겸보조、후외압박차수，후경첨혈발생솔균저우P조。결론 HC가시후경재합면부골절내고정술중인도비강기관삽관구유시야폭로호、삽관신속、손상소、성공솔고등우점，치득추엄사용。
Objective To compare the maxil ofacial fracture video laryngoscope andordinarylaryngoscopy in nasotrachealintubation ef ect. Methods Patients undergoing maxil ofacial fracture internal fixation of 50 cases of patients were randomly divided into video laryngoscope group (H group) and normal laryngoscope group (P group) under the guidance of nasal tracheal intubationby direct laryngoscopy, record the glot is exposure, duration of tracheal intubation, laryngealexternal compression frequency,Magil intubating forceps assisted, blood stained occurredlaryngoscope rate, and Incidence of postoperative sore throat discomfort. Results In H group, glot ic exposure time, intubation was significantly lower than that of P group ( <0.05), need Magilintu-bation forceps assisted, laryngeal external compression times, laryngoscope bloody incidence was lower than that in group P. Conclusion HC video laryngoscope in maxil ofacial fracture internal fixation guide nasal endotracheal intubation with vision good exposure, rapid intubation success rate, lit le damage, etc, is worthy to be popularized.