摘要
目的比较Macintosh喉镜与托下颌法辅助纤支镜经口气管插管的效果。方法 100例择期妇腔镜手术患者随机分成两组行纤支镜经口气管插管:J组常规托下颌法,M组为Macintosh喉镜辅助组。麻醉诱导后行纤支镜操作。观察指标声门暴露时间、暴露一次成功率、置管时间、置管一次成功率、气管插管所致并发症。结果各项操作指标M组皆优于J组:声门暴露及置管时间J组长于M组(P<0.05);一次成功率J组低于M组(P<0.05)。结论使用Macintosh喉镜辅助可较托下颌法显著地提高麻醉状态下纤支镜经口气管插管的成功率,缩短操作时间。
Objective To compare the effect of using Macintosh laryngoscopy or jaw thrust to open airway during fiberoptie bronchoscope for oral tracheal intubation. Methods One hundred patients scheduled for fibreoptic oral intubation were randomly assigned into group J （applying jaw thrust for assistance） and group M （applying Macin- tosh laryngoscopy for assistance）. After standard intravenous anesthetic induction, insertion of endotracheal tube was performed. The time of glottic exposure and trachea intubation, success rate of insertion of endotrachea! tubes, and in- cidence of complications were recorded and compared between the two groups. Results The indexes of group M were all significantly better than those in group J. In group M, the time of glottic exposure, trachea intubation was sig- nificantly shorter （P〈0.05）, and the first success rate was significantly higher （P〈0.05）. Conclusion Compared to jaw thrust, Macintosh laryngoscope can significantly improve the success rate of intubation and shorten the operation time under anesthesia.
出处
《海南医学》
CAS
2013年第4期508-509,共2页
Hainan Medical Journal
