四川医学
四川醫學
사천의학
Sichuan Medical Journal
2015年
10期
1443-1445
,共3页
气管插管深度%中切牙%胸骨角%距离
氣管插管深度%中切牙%胸骨角%距離
기관삽관심도%중절아%흉골각%거리
the depth of the endotracheal tube%upper incisor%manubriosternal joint%carina
目的 找到一种快速、经济、实用、简单易行的方法,对气道长度进行评估,进而指导气管导管插入深度.方法 采用前瞻性自身对照设计. 纳入ASAⅠ或Ⅱ全麻患者100例,术前于颈部过伸位测量中切牙到胸骨角距离. 入室后常规诱导插管,使用纤支镜测量中切牙到隆突距离. 分析两段距离的相关性和一致性,并计算出回归方程. 结果 中切牙到胸骨角距离与中切牙到隆突距离高度相关(r=0. 944,P=0. 000). Bland-Altman检验提示二者具有较好的一致性[偏倚:-0. 266,一致性界限:(0. 28,-1. 32),百分误差:8. 3%]. 回归方程:中切牙到隆突距离=0. 983 ×中切牙到胸骨角距离+0. 689. 结论 中切牙到胸骨角距离可用于评估气道长度并指导插管深度.
目的 找到一種快速、經濟、實用、簡單易行的方法,對氣道長度進行評估,進而指導氣管導管插入深度.方法 採用前瞻性自身對照設計. 納入ASAⅠ或Ⅱ全痳患者100例,術前于頸部過伸位測量中切牙到胸骨角距離. 入室後常規誘導插管,使用纖支鏡測量中切牙到隆突距離. 分析兩段距離的相關性和一緻性,併計算齣迴歸方程. 結果 中切牙到胸骨角距離與中切牙到隆突距離高度相關(r=0. 944,P=0. 000). Bland-Altman檢驗提示二者具有較好的一緻性[偏倚:-0. 266,一緻性界限:(0. 28,-1. 32),百分誤差:8. 3%]. 迴歸方程:中切牙到隆突距離=0. 983 ×中切牙到胸骨角距離+0. 689. 結論 中切牙到胸骨角距離可用于評估氣道長度併指導插管深度.
목적 조도일충쾌속、경제、실용、간단역행적방법,대기도장도진행평고,진이지도기관도관삽입심도.방법 채용전첨성자신대조설계. 납입ASAⅠ혹Ⅱ전마환자100례,술전우경부과신위측량중절아도흉골각거리. 입실후상규유도삽관,사용섬지경측량중절아도륭돌거리. 분석량단거리적상관성화일치성,병계산출회귀방정. 결과 중절아도흉골각거리여중절아도륭돌거리고도상관(r=0. 944,P=0. 000). Bland-Altman검험제시이자구유교호적일치성[편의:-0. 266,일치성계한:(0. 28,-1. 32),백분오차:8. 3%]. 회귀방정:중절아도륭돌거리=0. 983 ×중절아도흉골각거리+0. 689. 결론 중절아도흉골각거리가용우평고기도장도병지도삽관심도.
Objective To explore an economic,faster and more reliable approach to adjust the depth of the eudotracheal tube. Methods 100 patients underwent general anesthesia were included. They were asked to extend the neck before the induc-tion, the distance between upper incisor and the manubriosternal joint( UM) were measured and recorded. After inducing,the dis-tance between upper incisor and the carina(UC) was measured by fibrotic bronchoscope(FOB). The correlation between the two distances was calculated. Formula for the regression line was obtained and Bland-Altman test was made. Results There was sig-nificant correlation between the two distance(r=0. 944,P=0. 000). Formula for the regression line was UC =0. 983 × UM +0. 689. Bland-Altman test revealed bias was-0. 266,the agreement of limitation was(0. 28,-1. 32),percentage error was 8. 3%. Conclusion UM could be used to guide the depth of the ETT.
