UE可视喉镜联合可调式气管导管在全身麻醉插管中的应用效果
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摘要
目的探讨UE可视喉镜联合可调式气管导管在全身麻醉插管中的应用效果。方法选取我院2017年6月～2018年7月需要气管插管全身麻醉手术的121例患者作为研究对象,采用随机数字表法分为研究组(n=61)和对照组(n=60)。对照组采用直接喉镜联合普通气管导管进行气管插管,研究组采用UE可视喉镜联合可调式气管导管进行气管插管。比较两组患者麻醉诱导前与插管即刻的血流动力学指标(包含收缩压、舒张压、心率等)变化情况、声门暴露时间、气管插管时间、一次插管成功率、误插率及术后并发症发生率。结果麻醉诱导前,两组患者的收缩压、舒张压和心率水平比较,差异无统计学意义(P>0.05)。研究组患者插管即刻的收缩压、舒张压和心率水平均低于对照组,差异有统计学意义(P<0.05)。研究组患者插管即刻的各项血流动力学指标水平与麻醉诱导前比较,差异无统计学意义(P>0.05)。对照组患者插管即刻的各项血流动力学指标水平高于诱导前,差异有统计学意义(P<0.05)。研究组患者的声门暴露时间、气管插管时间均短于对照组,一次插管成功率高于对照组,差异有统计学意义(P<0.05)。研究组患者的术后并发症总发生率、误插率低于对照组,差异有统计学意义(P<0.05)。结论对行全身麻醉气管插管的患者采用UE可视喉镜联合可调式气管导管进行气管插管,不仅能保证患者插管的成功率,同时还能缩短患者的气管插管时间,减轻气管插管对其血流动力学的影响以及降低患者术后并发症发生率。
Objective To explore the application effect of UE video laryngoscope combined with adjustable tracheal tube in general anesthesia. Methods A total of 121 patients with general anesthesia for tracheal intubation from June2017 to July 2018 in our hospital were selected as the research objects. They were divided into the study group(n=61)and the control group(n =60) according to random number table method. The control group was treated with direct laryngoscope combined with common tracheal tube for tracheal intubation. The study group was treated with UE video laryngoscope combined with adjustable tracheal tube for tracheal intubation. The changes of hemodynamic parameters(including systolic blood pressure, diastolic blood pressure, heart rate, etc.) before and immediately after induction of anesthesia, glottic exposure time, tracheal intubation time, success rate of primary intubation, mis-intubation rate and incidence of complications were compared between the two groups. Results Before induction of anesthesia, there was no significant difference in systolic blood pressure, diastolic blood pressure and heart rate between the two groups(P >0.05). Immediately after intubation, the systolic blood pressure, diastolic blood pressure and heart rate of the study group were lower than those of the control group, the difference was statistically significant(P<0.05). There was no significant difference in the level of hemodynamics in the study group between immediately after intubation and the anesthesia before induction(P >0.05). The level of hemodynamics immediately after intubation in the control group were higher than those in the anesthesia before induction, and the difference was statistically significant(P<0.05). The glottic exposure time and tracheal intubation time of the study group were shorter than those of the control group, the success rate of one intubation in the study group was higher than that in the control group, with significant difference(P<0.05).The total postoperative complication rate and misinterpretation rate of the study group were lower than those of the control group,with significant difference(P<0.05). Conclusion In patients with general anesthesia tracheal intubation, the use of UE video laryngoscope combined with adjustable tracheal tube for tracheal intubation can not only ensure the success rate of patient intubation, but also shorten the time of tracheal intubation, reduce the influence of tracheal intubation on hemodynamics and reduce the incidence of complications after operation.
Objective To explore the application effect of UE video laryngoscope combined with adjustable tracheal tube in general anesthesia. Methods A total of 121 patients with general anesthesia for tracheal intubation from June2017 to July 2018 in our hospital were selected as the research objects. They were divided into the study group(n=61)and the control group(n =60) according to random number table method. The control group was treated with direct laryngoscope combined with common tracheal tube for tracheal intubation. The study group was treated with UE video laryngoscope combined with adjustable tracheal tube for tracheal intubation. The changes of hemodynamic parameters(including systolic blood pressure, diastolic blood pressure, heart rate, etc.) before and immediately after induction of anesthesia, glottic exposure time, tracheal intubation time, success rate of primary intubation, mis-intubation rate and incidence of complications were compared between the two groups. Results Before induction of anesthesia, there was no significant difference in systolic blood pressure, diastolic blood pressure and heart rate between the two groups(P >0.05). Immediately after intubation, the systolic blood pressure, diastolic blood pressure and heart rate of the study group were lower than those of the control group, the difference was statistically significant(P<0.05). There was no significant difference in the level of hemodynamics in the study group between immediately after intubation and the anesthesia before induction(P >0.05). The level of hemodynamics immediately after intubation in the control group were higher than those in the anesthesia before induction, and the difference was statistically significant(P<0.05). The glottic exposure time and tracheal intubation time of the study group were shorter than those of the control group, the success rate of one intubation in the study group was higher than that in the control group, with significant difference(P<0.05).The total postoperative complication rate and misinterpretation rate of the study group were lower than those of the control group,with significant difference(P<0.05). Conclusion In patients with general anesthesia tracheal intubation, the use of UE video laryngoscope combined with adjustable tracheal tube for tracheal intubation can not only ensure the success rate of patient intubation, but also shorten the time of tracheal intubation, reduce the influence of tracheal intubation on hemodynamics and reduce the incidence of complications after operation.
引文
[1]赵晓春.可视喉镜在全麻患者气管插管中的临床应用[J].中国医疗器械信息,2018,24(5):113-114.
[2]丁俊.国产UE可视喉镜在麻醉科外出急救气管插管中的临床观察[J].中外医学研究,2018,16(8):149-150.
[3]费海彬.可视喉镜在急诊气管插管术中的临床应用价值及安全性分析[J].中国医疗器械信息,2018,24(3):85-86.
[4]Blanco E,García LF,Aluja A.The location of the Trait Emotional Intelligence in the Zuckerman′s Personality Model space and the role of General Intelligence and social status[J].Scandinavian J Psychol,2016,57(5):453-463.
[5]张灿华,钱金桥.HC可视喉镜联合纤维光导支气管镜引导全身麻醉气管插管[J].昆明医科大学学报,2016,37(9):76-79.
[6]苏群.可视喉镜在急诊气管插管术中的临床应用价值及安全性分析[J].临床医学研究与实践,2016,1(8):42.
[7]米智华,胡乃琴,王春林.非气管插管全麻辅以HC可视喉镜在气管支架植入术中的应用[J].医学理论与实践,2016,29(3):349-351.
[8]高志勇,郭薇薇,贺静,等.不同弯曲度气管导管用于HC可视喉镜气管插管的比较[J].四川医学,2016,37(1):98-100.
[9]陈军民,王平,胡晓萍.比较HC可视喉镜与直接喉镜在急诊气管插管患者中的应用效果[J].浙江创伤外科,2015,20(6):1182-1184.
[10]张树峰.使用可视喉镜对手术患者进行全麻气管插管的效果分析[J].当代医药论丛,2015,13(16):196-197.
[11]许挺,李民,郭向阳.Shikani喉镜与Macintosh喉镜在双腔气管导管插管中的比较[J].北京大学学报(医学版),2015,47(5):853-857.
[12]万向学.国产UE可视喉镜与普通喉镜用于小儿气管插管的临床对比分析[J].现代中西医结合杂志,2015,24(11):1232-1234.
[13]孔岚,高勐,周一.GlideScope视频喉镜在困难气道患者气管插管中的应用[J].中华实用诊断与治疗杂志,2014,28(9):889-890.
[14]Hinni ML,Patel AB,Nagel TH,et al.A novel distending laryngoscope:implications in transoral surgery[J].Eur Arch Otorhinolaryngo,2015,273(5):1-4.
[15]钱怡,夏朝晖,顾蔚.HC可视喉镜与MACINTOSH直接喉镜在院前气管插管中的应用比较[J].中国现代医药杂志,2014,16(10):52-53.
[16]赵国胜,安洁.HC可视喉镜联合纤维光导支气管镜引导全身麻醉气管插管的临床效果观察[J].中国内镜杂志,2014,20(7):772-774.
[17]姜燕,金泉英.国产UE可视喉镜与普通喉镜用于小儿气管插管比较[J].中华实用诊断与治疗杂志,2014,28(1):59-60.
[18]Campling L,Harrison J,Richardson B,et al.Disposiciones laborales en acUErdos de libre comercio de la UE:un marco para investigar sus efectos en los países socios[J].Revista Internacional Del Trabajo,2016,135(3):385-412.
[19]刘玮玲,曹汉忠,门艳华.帝视可视喉镜与直接喉镜在腹部手术全麻气管插管中的应用比较[J].中外医疗,2017,36(19):64-66,75.
[20]马丽丽,顾连兵,高蓉,等.TOSIGHT视频喉镜与McCoy喉镜在气管插管中的应用效果[J].中华实用诊断与治疗杂志,2015,29(5):455-457.
[2]丁俊.国产UE可视喉镜在麻醉科外出急救气管插管中的临床观察[J].中外医学研究,2018,16(8):149-150.
[3]费海彬.可视喉镜在急诊气管插管术中的临床应用价值及安全性分析[J].中国医疗器械信息,2018,24(3):85-86.
[4]Blanco E,García LF,Aluja A.The location of the Trait Emotional Intelligence in the Zuckerman′s Personality Model space and the role of General Intelligence and social status[J].Scandinavian J Psychol,2016,57(5):453-463.
[5]张灿华,钱金桥.HC可视喉镜联合纤维光导支气管镜引导全身麻醉气管插管[J].昆明医科大学学报,2016,37(9):76-79.
[6]苏群.可视喉镜在急诊气管插管术中的临床应用价值及安全性分析[J].临床医学研究与实践,2016,1(8):42.
[7]米智华,胡乃琴,王春林.非气管插管全麻辅以HC可视喉镜在气管支架植入术中的应用[J].医学理论与实践,2016,29(3):349-351.
[8]高志勇,郭薇薇,贺静,等.不同弯曲度气管导管用于HC可视喉镜气管插管的比较[J].四川医学,2016,37(1):98-100.
[9]陈军民,王平,胡晓萍.比较HC可视喉镜与直接喉镜在急诊气管插管患者中的应用效果[J].浙江创伤外科,2015,20(6):1182-1184.
[10]张树峰.使用可视喉镜对手术患者进行全麻气管插管的效果分析[J].当代医药论丛,2015,13(16):196-197.
[11]许挺,李民,郭向阳.Shikani喉镜与Macintosh喉镜在双腔气管导管插管中的比较[J].北京大学学报(医学版),2015,47(5):853-857.
[12]万向学.国产UE可视喉镜与普通喉镜用于小儿气管插管的临床对比分析[J].现代中西医结合杂志,2015,24(11):1232-1234.
[13]孔岚,高勐,周一.GlideScope视频喉镜在困难气道患者气管插管中的应用[J].中华实用诊断与治疗杂志,2014,28(9):889-890.
[14]Hinni ML,Patel AB,Nagel TH,et al.A novel distending laryngoscope:implications in transoral surgery[J].Eur Arch Otorhinolaryngo,2015,273(5):1-4.
[15]钱怡,夏朝晖,顾蔚.HC可视喉镜与MACINTOSH直接喉镜在院前气管插管中的应用比较[J].中国现代医药杂志,2014,16(10):52-53.
[16]赵国胜,安洁.HC可视喉镜联合纤维光导支气管镜引导全身麻醉气管插管的临床效果观察[J].中国内镜杂志,2014,20(7):772-774.
[17]姜燕,金泉英.国产UE可视喉镜与普通喉镜用于小儿气管插管比较[J].中华实用诊断与治疗杂志,2014,28(1):59-60.
[18]Campling L,Harrison J,Richardson B,et al.Disposiciones laborales en acUErdos de libre comercio de la UE:un marco para investigar sus efectos en los países socios[J].Revista Internacional Del Trabajo,2016,135(3):385-412.
[19]刘玮玲,曹汉忠,门艳华.帝视可视喉镜与直接喉镜在腹部手术全麻气管插管中的应用比较[J].中外医疗,2017,36(19):64-66,75.
[20]马丽丽,顾连兵,高蓉,等.TOSIGHT视频喉镜与McCoy喉镜在气管插管中的应用效果[J].中华实用诊断与治疗杂志,2015,29(5):455-457.