CAJ | 학술논문

目的：探讨 HC 可视喉镜在全身麻醉气管插管中临床效果。方法选择2012年12月～2013年9月在我院行全身麻醉患者600例作为研究对象，按数字随机表法分为两组，H 组（300例）采用 HC 可视喉镜辅助下气管插管；M 组（300例），采用普通喉镜辅助下气管插管，比较两组声门暴露时间、气管插管总时间、一次成功率、声门暴露满意率及并发症发生率，比较两组患者不同时间点血压、心率（HR）及心率与收缩压乘积（PPR）。结果 H 组声门暴露时间及插管总时间均较 M 组短（P ＜0.05），一次插管成功率、声门暴露满意率均高于 M 组（P ＜0.05），两组并发症发生率差异无统计学意义（P ＞0.05）；诱导麻醉后（T1）两组患者各血流动力学参数均较诱导前（T0）下降，气管插管时（T2）又较 T1显著升高，差异均有统计学意义（P ＜0.05），插管成功后，各项统计指标逐步下降，至插管后5min（T5）时与 T1比较差异无统计学意义（P ＞0.05）。H 组各血流动力学参数各时间点均低于 M 组，但差异均无统计学意义（P ＞0.05）。结论HC 喉镜能够清晰暴露声门部，减少插管时间，提高插管成功率，并不会对患者血液动力学指标产生不利影响，可安全用于全身麻醉过程的气管插管。
목적：탐토 HC 가시후경재전신마취기관삽관중림상효과。방법선택2012년12월～2013년9월재아원행전신마취환자600례작위연구대상，안수자수궤표법분위량조，H 조（300례）채용 HC 가시후경보조하기관삽관；M 조（300례），채용보통후경보조하기관삽관，비교량조성문폭로시간、기관삽관총시간、일차성공솔、성문폭로만의솔급병발증발생솔，비교량조환자불동시간점혈압、심솔（HR）급심솔여수축압승적（PPR）。결과 H 조성문폭로시간급삽관총시간균교 M 조단（P ＜0.05），일차삽관성공솔、성문폭로만의솔균고우 M 조（P ＜0.05），량조병발증발생솔차이무통계학의의（P ＞0.05）；유도마취후（T1）량조환자각혈류동역학삼수균교유도전（T0）하강，기관삽관시（T2）우교 T1현저승고，차이균유통계학의의（P ＜0.05），삽관성공후，각항통계지표축보하강，지삽관후5min（T5）시여 T1비교차이무통계학의의（P ＞0.05）。H 조각혈류동역학삼수각시간점균저우 M 조，단차이균무통계학의의（P ＞0.05）。결론HC 후경능구청석폭로성문부，감소삽관시간，제고삽관성공솔，병불회대환자혈액동역학지표산생불리영향，가안전용우전신마취과정적기관삽관。
Objective To investigate the clinical results of HC visual laryngoscope in endotracheal intubation under general anesthesia. Methods 600 cases of general anesthesia patients in our hospital from December 2012 to September 2013 were selected as research subjects, and randomly assigned into two groups according to figures, H group (300 cases) used HC-assisted intubation laryngoscope visualization tube; M group (300 cases) used ordinary assisted intubation laryngoscope, glottis exposure time, total time intubation, once success rate, glottis exposed satisfaction rate, complication rate, blood pressure at different time points, heart rate (HR) and heart rate and systolic blood pressure product (PPR)were compared between the two groups. Results The total exposure time of glottis and intubation in H group were shorter than that in the M group (P < 0.05), once success rate of intubation, glottis exposed satisfaction rate in the H group were higher than that in the M group (P < 0.05), two complications rate had no significant difference (P > 0.05); the hemodynamics parameter in the two groups after induction anesthesia (T1) were lower than that before induction kinetics parameters (T0), it in intubation (T2) was significantly higher than that in T1, the differences were statistically significant (P < 0.05), after intubation, the statistical indicators was a gradual decline, with T1 difference was not statistically significant to intubation after 5min (T5,P > 0.05). H group each hemodynamic parameter at each time point were lower than that in the M group, but the difference was not statistically significant (P > 0.05). Conclusion HC laryngoscope can clearly expose the glottis department, reducing intubation time and improve the success rate of intubation, the patient will not have hemodynamic indices adversely affect safe for general anesthesia process.