| 卢增停,叶茜琳,胡浩翔,等.国产明视插管软镜在经口气管插管中的应用[J].安徽医药,2016,20(11):2116-2118. |
| 国产明视插管软镜在经口气管插管中的应用 |
| Clinical evaluation of domestic video intubationscope for oral-tracheal intubation |
| 投稿时间：2016-05-11 |
| DOI： |
| 中文关键词: 纤维光学 插管法,气管内 明视插管 方法 |
| 英文关键词: Fiber optics Intubation,intratracheal Video intubationscope Methods |
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| 中文摘要: |
| 目的 评价国产明视插管软镜用于经口气管插管的临床效果。方法 择期经口气管插管全身麻醉手术患者120例,ASAⅠ或Ⅱ级,年龄19～73岁,体质量指数17～35 kg·m-2,Mallampati气道分级Ⅰ～Ⅳ级。静脉麻醉诱导后,使用国产明视插管软镜行经口气管插管。记录声门显露时间、气管插管时间(入镜开始至退镜结束)和气管插管次数。记录麻醉诱导前(T0)、麻醉诱导后(T1)、声门暴露时(T2)、插管后即刻(T3)、插管后1 min(T4)和插管后3 min(T5)时的的平均动脉压(MAP)、心率(HR)和脉搏血氧饱和度(SpO2),术后随访气管插管相关并发症。结果 120例患者均以明视插管软镜顺利完成气管插管,插管过程中HR无明显变化,SpO2维持在96%～100%。与T0比较,T1时患者MAP明显下降(P<0.05)；与T1比较,T3～T4时MAP明显升高(均P<0.05)。声门显露时间为(16±8)s,气管插管时间为(22±11)s。气管插管一次成功108例(占90.0％),二次成功9例(占7.5％),三次成功3例(占2.5％)。术后随访无气管插管相关并发症。结论 国产明视插管软镜用于经口气管插管操作简便,气管插管成功率高,损伤小,患者生命体征平稳,值得临床推广应用。 |
| 英文摘要: |
| Objective To evaluate clinical effectiveness of domestic video intubationscope for oral-tracheal intubation.Methods Enrolled in the study were 120 patients undergoing general anesthesia with oral-tracheal intubation,ASAⅠorⅡ,aged 19～73 years,with body mass index of 17～35 kg·m-2 and MallampatiⅠ ～Ⅳ.After intravenous anesthetic induction,the domestic video intubationscope was used for oral intubation.Duration of glottic exposure,duration of intubation,the number of intubation,success rate and complications were recorded.Mean arterial pressure(MAP),heart rate(HR)and saturation of pulse oximetry(SpO2)were recorded before induction(T0),after induction(T1),at glottic exposure(T2),at intubation(T3),1 min(T4)and 3 min(T5)after intubation.Results Oral-tracheal intubation with domestic video intubationscope was successfully completed for all 120 patients.HR in the intubation process was not significantly changed,and SpO2 was maintained within 96%~100%.Compared with T0,MAP at T1 was significantly decreased(P<0.05);Compared with T1,MAP at T3~T4 was significantly increased(P<0.05).Duration of glottic exposure and duration of intubation were(16±8)s and(22±11)s respectively.Totally 108 patients were successfully intubated on the first attempt,9 on the second,and 3 on the third.No significant complications were reported.Conclusions The domestic video intubationscope is a safe and efficient device for oral-tracheal intubation with high successful rate and low damage,which is worthy of spreading to clinical use. |
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