安徽医学
安徽醫學
안휘의학
Anhui Medical Journal
2015年
11期
1381-1383
,共3页
TruviewTMEVO2 光学喉镜%普通喉镜%呼吸衰竭
TruviewTMEVO2 光學喉鏡%普通喉鏡%呼吸衰竭
TruviewTMEVO2 광학후경%보통후경%호흡쇠갈
EVO2 Optic Laryngoscope%Common Laryngoscope%Respiratory Failure
目的：探讨 TruviewTM EVO2光学喉镜与普通喉镜在抢救呼吸衰竭患者中的临床效果。方法选取2013年2月至2014年3月需行紧急气管插管救治的呼吸衰竭患者64例，采用随机数表法将患者分为观察组（光学喉镜）和对照组（普通喉镜）各32例，比较两组患者的气道声门暴露 C/ L 分级、一次插管成功率、气管插管操作时间和术后并发症等。结果观察组气道声门暴露C/ L 分级为Ⅰ~Ⅱ级的患者例数多于对照组，而Ⅲ~Ⅳ级患者例数少于对照组，差异有统计学意义（P <0.05）；观察组一次插管成功率为93.75%，SpO2最低下降值范围分别为93.75%和（97.98±1.38）%，明显高于对照组的68.75%和（91.26±3.11）%，差异均有统计学意义（P <0.05）；两组气管插管操作时间比较，差异无统计学意义（P >0.05）；观察组并发症发生率为9.38%，明显低于对照组的34.37%，差异有统计学意义（P <0.05）。结论 TruviewTM EVO2光学喉镜具有插管成功率高、声门显露好的特点，适用于呼吸衰竭抢救。
目的：探討 TruviewTM EVO2光學喉鏡與普通喉鏡在搶救呼吸衰竭患者中的臨床效果。方法選取2013年2月至2014年3月需行緊急氣管插管救治的呼吸衰竭患者64例，採用隨機數錶法將患者分為觀察組（光學喉鏡）和對照組（普通喉鏡）各32例，比較兩組患者的氣道聲門暴露 C/ L 分級、一次插管成功率、氣管插管操作時間和術後併髮癥等。結果觀察組氣道聲門暴露C/ L 分級為Ⅰ~Ⅱ級的患者例數多于對照組，而Ⅲ~Ⅳ級患者例數少于對照組，差異有統計學意義（P <0.05）；觀察組一次插管成功率為93.75%，SpO2最低下降值範圍分彆為93.75%和（97.98±1.38）%，明顯高于對照組的68.75%和（91.26±3.11）%，差異均有統計學意義（P <0.05）；兩組氣管插管操作時間比較，差異無統計學意義（P >0.05）；觀察組併髮癥髮生率為9.38%，明顯低于對照組的34.37%，差異有統計學意義（P <0.05）。結論 TruviewTM EVO2光學喉鏡具有插管成功率高、聲門顯露好的特點，適用于呼吸衰竭搶救。
목적：탐토 TruviewTM EVO2광학후경여보통후경재창구호흡쇠갈환자중적림상효과。방법선취2013년2월지2014년3월수행긴급기관삽관구치적호흡쇠갈환자64례，채용수궤수표법장환자분위관찰조（광학후경）화대조조（보통후경）각32례，비교량조환자적기도성문폭로 C/ L 분급、일차삽관성공솔、기관삽관조작시간화술후병발증등。결과관찰조기도성문폭로C/ L 분급위Ⅰ~Ⅱ급적환자례수다우대조조，이Ⅲ~Ⅳ급환자례수소우대조조，차이유통계학의의（P <0.05）；관찰조일차삽관성공솔위93.75%，SpO2최저하강치범위분별위93.75%화（97.98±1.38）%，명현고우대조조적68.75%화（91.26±3.11）%，차이균유통계학의의（P <0.05）；량조기관삽관조작시간비교，차이무통계학의의（P >0.05）；관찰조병발증발생솔위9.38%，명현저우대조조적34.37%，차이유통계학의의（P <0.05）。결론 TruviewTM EVO2광학후경구유삽관성공솔고、성문현로호적특점，괄용우호흡쇠갈창구。
Objective To investigate the clinical effect of TruviewTM EVO2 optic and common laryngoscope on the treatment of re-spiratory failure patients. Methods 64 cases of patients with respiratory failure ever treated with urgent trachea intubation from Feb 2013 to Mar 2014 were selected,and were equally divided into study group(optic laryngoscope)and control group(common laryngoscope)by ran-dom number table method. The C/ L classification of airway glottis exposure,one time success rate and operation time of tracheal intubation, and postoperative complications between the two groups were compared. Results Patients in the study group whose C/ L classification of air-way glottis exposure to be grade Ⅰ ~ Ⅱ were greater than those in the control group,but patients with grade Ⅲ ~ Ⅳ in the study group were fewer than those in the control group,and the differences between them were statistically significant(P < 0. 05). The one time success rate of tracheal intubation and the lowest range of SpO2 drop-off in the study group were 93. 75% and(97. 98 ± 1. 38)% ,respectively,which were also with significant differences when compared with those,68. 75% and(91. 26 ± 3. 11)% ,in the control group(P < 0. 05). There was significant difference between the incidence of complications in the study group and that in the control group(9. 38% vs 34. 37% ,P <0. 05),but no significant difference was found in the operation time of tracheal intubation between them(P > 0. 05). Conclusion The Tru-viewTM EVO2 optic laryngoscope has the characteristics of high success rate of intubation and better exposure of glottis,and is applicable to treatment of respiratory failure patients.
