CAJ | 학술논문

目的比较TD-C-IV型可视喉镜与Macintosh喉镜用于麻醉实习医师气管插管教学训练效果的差异.方法我校2011级麻醉系实习医师15名,对120例甲乳科拟接受全身麻醉的手术患者进行气管插管操作.患者据随机数字表分为2组:接受TD-C-IV型可视喉镜插管(TD组)或Macintosh喉镜插管(M组).每名实习医师参与TD组和M组各4次操作.比较患者C-L声门分级、插管时间、首次插管成功率、血流动力学指标变化率的差异.结果 TD组与M组C-L分级有显著性差异,TD组低级别比例更高;TD组气管插管次数少于M组,首次插管成功率高于M组,插管时间短于M组;TD组插管前后收缩压变化率低于M组,心率变化率两组无统计学差异.结论实习医师采用TD-C-IV型可视喉镜行气管插管较传统工具操作便捷、成功率高、对患者循环影响小,TD-C-IV型可视喉镜是适合气管插管术麻醉教学训练的有利工具.
목적 비교TD-C-IV형가시후경여Macintosh후경용우마취실습의사기관삽관교학훈련효과적차이.방법 아교2011급마취계실습의사15명,대120례갑유과의접수전신마취적수술환자진행기관삽관조작.환자거수궤수자표분위2조:접수TD-C-IV형가시후경삽관(TD조)혹Macintosh후경삽관(M조).매명실습의사삼여TD조화M조각4차조작.비교환자C-L성문분급、삽관시간、수차삽관성공솔、혈류동역학지표변화솔적차이.결과 TD조여M조C-L분급유현저성차이,TD조저급별비례경고;TD조기관삽관차수소우M조,수차삽관성공솔고우M조,삽관시간단우M조;TD조삽관전후수축압변화솔저우M조,심솔변화솔량조무통계학차이.결론실습의사채용TD-C-IV형가시후경행기관삽관교전통공구조작편첩、성공솔고、대환자순배영향소,TD-C-IV형가시후경시괄합기관삽관술마취교학훈련적유리공구.
Objective To compare the effects of TD-C-IV video laryngoscope and Macintosh laryngoscope on the intubation training of anesthesia interns.Methods 15 anesthesia interns were going to intubate 120 patients who wil undergo surgery with general anesthesia. The patients were randomly divided into 2 groups, receiving TD-C-IV video laryngoscope (TD group) or Macintosh laryngoscope (group M) respectively. Each intern intubated 4 patients per group. The C-L classification, intubation time, first intubation success rate, and the variation of the hemodynamic index were recorded, and the differences between the two groups were compared.Results The C-L level, intubation time, success rate of first intubation and the SBP variation have statisticaly significant difference between two groups.Conclusion Intern's training with TD-C-IV video laryngoscope in intubation is more convenient and has higher success rate while little interference with hemodynamic index. TD-C-IV video laryngoscope is a favorable tool in intubation training of anesthesia interns.