摘要
目的评价Tosight视频喉镜全麻气管插管对术后咽喉痛的影响。方法选取2017年10月至2018年3月中国医学科学院整形外科医院拟在经口气管插管全身麻醉下实施择期手术的整形外科患者,美国麻醉医师协会(Ameri?can Society of Anesthesiologists, ASA)分级Ⅰ~Ⅱ级。采用随机数字表法将其分为A组(Tosight视频喉镜组)和B组(Macin?tosh喉镜组)。麻醉快速诱导后分别采用Tosight视频喉镜或MacintoshCormach-Lehane分级、插管次数、带管时间、术后(1、4、12、24 h)咽喉痛情况。结果共纳入120例患者,A、B两组各60例,A组的声门显露效果明显优于B组(P <0.05);A组和B组的一次插管成功率分别为96.7%和88.3%,差异无统计学意义(P> 0.05)。术后1 h咽喉痛的发生率,A组和B组分别为15.0%和28.3%,差异无统计学意义(P> 0.05);术后4、12、24 h咽喉痛的发生率A组明显低于B组,差异有统计学意义(P <0.05)。两组术后4 h咽喉痛的发生率均为最高。结论Tosight视频喉镜可显著改善声门暴露分级,提高一次插管成功率,明显降低术后咽喉痛的发生率。
Objective To observe the effect of Tosight video laryngoscope on postoperative sore throat after tracheal intubation in patients with general anesthesia.Methods The patients who underwent tracheal intubation general anesthesia for elective plastic surgery,ASA gradeⅠ-Ⅱ,were randomly divided into group A(Tosight video laryngoscope group)and group B(Macintosh laryngoscope group).After rapid induction,the Tosight video laryngoscope or Macintosh laryngoscope was used to tracheal intubation.The Cormach-Lehane classification,intubation frequency,the duration of intubation,and the sore throat after operation 1,4,12 and 24 h were observed and recorded.Results The effect of glottis exposure in group A was obviously better than that in group B(P<0.05).The success rate of intubation in group A and group B was 96.7%and 88.3%respectively,and there was no significant difference(P>0.05);the overall incidence of sore throat of 1 h after operation was15.0%in group A and 28.3%in group B,there was no significant difference(P>0.05),and the incidences of sore throat at 4,12 and 24 h in group A after operation were significantly lower than those of group B(P<0.05).The incidence of sore throat at 4 h after operation was the highest in the two groups.Conclusions Tosight video laryngoscope can significantly increase the success rate of intubation,glottis exposure and reduce the incidence of sore throat.
作者
王磊
安洁
邓晓明
徐文莉
魏灵欣
杨冬
Wang Lei;An Jie;Deng Xiaoming;Xu Wenli;Wei Lingxin;Yang Dong(Department of Anesthesiology,Plastic Surgery Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100144,China)
出处
《北京医学》
CAS
2019年第1期26-29,共4页
Beijing Medical Journal
