發(fā)布時(shí)間：2018-08-18 17:45

【摘要】：目的研究GlideScope視頻喉鏡用于老年患者氣管插管的臨床效果。方法選取2012年3月至2013年3月在該院行腹部手術(shù)患者76例,將患者分為兩組,一組采用GlideScope視頻喉鏡插管為觀察組(n=38);另一組為對照組(n=38),采用普通Macintosh喉鏡插管。麻醉誘導(dǎo)后,行氣管插管。記錄氣管插管時(shí)間、氣管插管成功情況;氣管插管前(Ta)、氣管插管時(shí)(T0)、氣管插管后5min(T5)、氣管插管后10min(T10)及拔管時(shí)(TS)的血流動力學(xué)變化情況;GlideScope視頻喉鏡對聲門及會厭的顯露情況。結(jié)果與對照組比較,觀察組氣管插管時(shí)間縮短,1次插管成功率升高(P0.05),觀察組血流動力學(xué)比對照組穩(wěn)定,觀察組對聲門及會厭的顯露情況優(yōu)于對照組。結(jié)論 GlideScope視頻喉鏡氣管插管可縮短插管時(shí)間,提高首次插管成功率,血流動力學(xué)穩(wěn)定,可安全有效用于老年患者麻醉。
[Abstract]:Objective to study the clinical effect of GlideScope video laryngoscope on tracheal intubation in elderly patients. Methods 76 patients undergoing abdominal surgery from March 2012 to March 2013 were divided into two groups: one group was treated with GlideScope video laryngoscope intubation as observation group, the other group was normal Macintosh laryngoscope intubation group. After anesthesia induction, tracheal intubation was performed. The hemodynamic changes of (Ta), intubation before tracheal intubation (T0), 5min (T5) after tracheal intubation, 10min (T10) after tracheal intubation and (TS) during extubation were recorded. GlideScope video laryngoscope revealed glottis and epiglottis. Results compared with the control group, the successful rate of tracheal intubation was increased in the observation group (P0.05). The hemodynamics of the observation group was more stable than that of the control group, and the exposure of glottis and epiglottis in the observation group was better than that in the control group. Conclusion GlideScope video laryngoscopic tracheal intubation can shorten the intubation time, improve the success rate of the first intubation, and the hemodynamics is stable.
【作者單位】： 湖北省天門市第一人民醫(yī)院麻醉科;
【分類號】：R614.2

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