实用医学杂志
實用醫學雜誌
실용의학잡지
The Journal of Practical Medicine
2015年
18期
2978-2980
,共3页
插管法, 气管内%帝视可视内窥镜%高血压%心血管反应
插管法, 氣管內%帝視可視內窺鏡%高血壓%心血管反應
삽관법, 기관내%제시가시내규경%고혈압%심혈관반응
Intubation,intratracheal%Discopo%Hypertension%Cardiovascular responses
目的:比较帝视可视内窥镜(Discopo)和直接喉镜(Macintosh)气管内插管对老年高血压患者心血管反应的影响。方法:选择 ASAⅡ~Ⅲ级择期手术老年高血压患者60例,随机均分为 Discopo 组(D 组)和Macintosh 组(M组),每组30例。常规全身麻醉诱导后,分别使用Discopo 或Macintosh喉镜实施经口气管内插管操作。观察和记录麻醉诱导前基础值(T0)、诱导后(T1)、插管后1 min (T2)、3 min (T3)和5 min (T4)的平均动脉压(MBP)、心率(HR)、心电图(ECG)和脉搏血氧饱和度(SpO2)。同时记录插管一次成功率,插管时间和插管并发症。结果:Discopo 插管一次成功率高于且插管时间短于直接喉镜,两组差异有统计学意义(P<0.05),D组未发生任何并发症。与T0比较, T2两组患者的MBP和HR均明显升高且M组T3时仍明显升高(P <0.05)。与M组比较,T2和T3 D组患者的MBP和HR均明显降低(P <0.05)。结论:Discopo 引导气管插管对老年高血压患者心血管反应影响小。
目的:比較帝視可視內窺鏡(Discopo)和直接喉鏡(Macintosh)氣管內插管對老年高血壓患者心血管反應的影響。方法:選擇 ASAⅡ~Ⅲ級擇期手術老年高血壓患者60例,隨機均分為 Discopo 組(D 組)和Macintosh 組(M組),每組30例。常規全身痳醉誘導後,分彆使用Discopo 或Macintosh喉鏡實施經口氣管內插管操作。觀察和記錄痳醉誘導前基礎值(T0)、誘導後(T1)、插管後1 min (T2)、3 min (T3)和5 min (T4)的平均動脈壓(MBP)、心率(HR)、心電圖(ECG)和脈搏血氧飽和度(SpO2)。同時記錄插管一次成功率,插管時間和插管併髮癥。結果:Discopo 插管一次成功率高于且插管時間短于直接喉鏡,兩組差異有統計學意義(P<0.05),D組未髮生任何併髮癥。與T0比較, T2兩組患者的MBP和HR均明顯升高且M組T3時仍明顯升高(P <0.05)。與M組比較,T2和T3 D組患者的MBP和HR均明顯降低(P <0.05)。結論:Discopo 引導氣管插管對老年高血壓患者心血管反應影響小。
목적:비교제시가시내규경(Discopo)화직접후경(Macintosh)기관내삽관대노년고혈압환자심혈관반응적영향。방법:선택 ASAⅡ~Ⅲ급택기수술노년고혈압환자60례,수궤균분위 Discopo 조(D 조)화Macintosh 조(M조),매조30례。상규전신마취유도후,분별사용Discopo 혹Macintosh후경실시경구기관내삽관조작。관찰화기록마취유도전기출치(T0)、유도후(T1)、삽관후1 min (T2)、3 min (T3)화5 min (T4)적평균동맥압(MBP)、심솔(HR)、심전도(ECG)화맥박혈양포화도(SpO2)。동시기록삽관일차성공솔,삽관시간화삽관병발증。결과:Discopo 삽관일차성공솔고우차삽관시간단우직접후경,량조차이유통계학의의(P<0.05),D조미발생임하병발증。여T0비교, T2량조환자적MBP화HR균명현승고차M조T3시잉명현승고(P <0.05)。여M조비교,T2화T3 D조환자적MBP화HR균명현강저(P <0.05)。결론:Discopo 인도기관삽관대노년고혈압환자심혈관반응영향소。
Objective To compare cardiovascular responses of intubations by Discopo and Macintosh laryngoscope in elderly patients with hypertension. Methods Sixty elderly hypertensive patients with ASAⅡ~Ⅲundergoing elective surgery were equally randomized into two groups. After induction of general anesthesia , orotracheal intubation was performed with Discopo or Macintosh. The Mean arterial pressure (MBP) and heart rate (HR), as while as Electrocardiogram (ECG) and Blood oxygen saturation (SpO2), were recorded before (baseline values) and at 1,3,5 minutes after intubation(post-induction values). The rate of one-time successive intubation,intubation time and complication were also recorded. Results Compared with the macintosh group, the rate of one-time successive intubation was higher and the intubation time was shorter in the Discopo group (P< 0.05, respectively),with no complications. Compared with T0,MBP and HR at T2 in the two groups and T3 in the Macintosh group increased significantly (P < 0.05). Compared with the Macintosh group,MBP and HR at T2,T3 of the Discopo group decreased significantly (P < 0.05). Conclusion Little effect of tracheal intubation with Discopo on cardiovascular response was observed in elderly hypertensive patients.