现代医药卫生
現代醫藥衛生
현대의약위생
MODERN MEDICINE HEALTH
2014年
9期
1307-1308
,共2页
喉镜%困难气道%麻醉%儿童,学龄前
喉鏡%睏難氣道%痳醉%兒童,學齡前
후경%곤난기도%마취%인동,학령전
Laryngoscopes%Difficult airway%Anesthesia%Child,preschool
目的：评估视可尼喉镜在小儿困难气管插管中应用的可行性及安全性。方法选择40例术前评估预测为困难气管插管的择期手术患儿，将其分为普通喉镜组（M组）和视可尼喉镜组（S组）各20例。M组在喉镜直接暴露下气管插管；S组采用视可尼喉镜引导下气管内插管。比较两组患者麻醉诱导前（T1）、麻醉诱导完成后（T2）以及气管插管时（T3）、气管插管后5 min（T4）血压、心率（HR）、脉搏血氧饱和度（SpO2），一次气管插管成功率、插管时间及气管插管的并发症。结果 S组一次气管插管成功率及插管时间均优于M组，差异均有统计学意义（P=0.028、0.009）；麻醉诱导后S组收缩压、舒张压、HR均显著低于M组，差异均有统计学意义（P=0.001、0.004、0.042），其余各时点比较，差异均无统计学意义（P>0.05），各时点SpO2比较，差异均无统计学意义（P>0.05）；两组患者气管插管并发症比较，差异无统计学意义（P>0．05）。结论视可尼喉镜对于小儿困难气道气管插管是一种相对安全、快捷可靠的气管插管技术。
目的：評估視可尼喉鏡在小兒睏難氣管插管中應用的可行性及安全性。方法選擇40例術前評估預測為睏難氣管插管的擇期手術患兒，將其分為普通喉鏡組（M組）和視可尼喉鏡組（S組）各20例。M組在喉鏡直接暴露下氣管插管；S組採用視可尼喉鏡引導下氣管內插管。比較兩組患者痳醉誘導前（T1）、痳醉誘導完成後（T2）以及氣管插管時（T3）、氣管插管後5 min（T4）血壓、心率（HR）、脈搏血氧飽和度（SpO2），一次氣管插管成功率、插管時間及氣管插管的併髮癥。結果 S組一次氣管插管成功率及插管時間均優于M組，差異均有統計學意義（P=0.028、0.009）；痳醉誘導後S組收縮壓、舒張壓、HR均顯著低于M組，差異均有統計學意義（P=0.001、0.004、0.042），其餘各時點比較，差異均無統計學意義（P>0.05），各時點SpO2比較，差異均無統計學意義（P>0.05）；兩組患者氣管插管併髮癥比較，差異無統計學意義（P>0．05）。結論視可尼喉鏡對于小兒睏難氣道氣管插管是一種相對安全、快捷可靠的氣管插管技術。
목적：평고시가니후경재소인곤난기관삽관중응용적가행성급안전성。방법선택40례술전평고예측위곤난기관삽관적택기수술환인，장기분위보통후경조（M조）화시가니후경조（S조）각20례。M조재후경직접폭로하기관삽관；S조채용시가니후경인도하기관내삽관。비교량조환자마취유도전（T1）、마취유도완성후（T2）이급기관삽관시（T3）、기관삽관후5 min（T4）혈압、심솔（HR）、맥박혈양포화도（SpO2），일차기관삽관성공솔、삽관시간급기관삽관적병발증。결과 S조일차기관삽관성공솔급삽관시간균우우M조，차이균유통계학의의（P=0.028、0.009）；마취유도후S조수축압、서장압、HR균현저저우M조，차이균유통계학의의（P=0.001、0.004、0.042），기여각시점비교，차이균무통계학의의（P>0.05），각시점SpO2비교，차이균무통계학의의（P>0.05）；량조환자기관삽관병발증비교，차이무통계학의의（P>0．05）。결론시가니후경대우소인곤난기도기관삽관시일충상대안전、쾌첩가고적기관삽관기술。
Objective To evaluate the feasibility and the safety of Shikani Seeing Optical Stylet in difficult children′s tra-cheal intubation. Methods Totally 40 children with selective operation,who were with preoperative evaluation of difficult airway intubation,were selected and divided into the ordinary laryngoscope group(group M) and the Shikani Seeing Optical Stylet group (group S),20 cases in each group. The group M was with tracheal intubation under the direct exposure of laryngoscope ,while the group S was with tracheal intubation guided by Shikani Seeing Optical Stylet. The blood pressure,heart rate(HR),pulse blood oxygen saturation(SpO2),success rate of one-time tracheal intubation,intubation time and complications of tracheal intubation be-fore anesthesia induction(T1),after anesthesia induction(T2),in tracheal intubation(T3) and 5 min after tracheal intubation(T4) in the two groups were compared. Results Success rate of one-time tracheal intubation and intubation time of the group S were su-perior to those of the group M,and the difference had statistical significance(P=0.028,0.009);DBP,SBP and HR after tracheal intubation of group S were inferior to those of the group M prominently with statistically significant difference (P=0.001,0.004, 0.042);the comparison of the complications of tracheal intubation between the two groups had no statistically significant differ-ence(P>0.05). Conclusion Shikani Seeing Optical Stylet is a security,rapid and reliable tracheal intubation for difficult airway intubation in children.
