摘要
目的比较颈椎制动患者全麻气管插管时应用Airtraq视频喉镜与光棒的血流动力学变化及应用效果差异。方法择期经口全身麻醉手术患者60例,随机分为A和L两组。全麻诱导气管内插管,采用手法控制稳定(MIAS)方法头颈制动,使用Airtraq视频喉镜和光棒引导插管。比较两组插管前后血流动力学变化及插管时间、插管次数、有无助手辅助及插管并发症。结果 L组插管时间延长、插管次数多于A组,差异有统计学意义(P<0.05)。A组插管后心率与平均动脉压较插管前增高,差异有统计学意义(P<0.05)。L组术后患者咽喉疼痛等咽喉并发症高于A组,差异有统计学意义(P<0.05)。结论在颈椎制动患者中两种插管方法均取得了较高的的成功率,光棒所需时间较长但对血流动力学影响较小,Airtraq插管成功率更高,所需时间短,但对患者血流动力学影响较光棒明显。
Objective To compare the use of Airtraq and Lightwand in simulated cervical spine immobilization. Methods Sixty patients,underwent general anesthesia requiring tracheal intubation,were randomly assigned to use Airtraq（ group A,n=30） and Lightwand（group L,n=30）. Patients was provided manual in-line axial stabilization of the head and neck . Tracheal in-tubation time,times of attempt and manoeuvre needed to aid,luctuations of hemodynamics , and complications were recorded. Re-sult Compared with group A,the times of tracheal intubation and intubation attempts were more in group L,the difference was sta-tistically significant（P〈0. 05）. There is a hemodynamic fluctuations in group A when after intubation,the difference was statisti-cally significant（P〈0. 05）. The patients with postoperative sore throat pain was more in group L ,the difference was statistically significant（P〈0. 05）. Conclusion The Airtraq laryngoscope and Lightwand might be a good alternative for tracheal intubation in patients with cervical spine immobilization. With more stable hemodynamic,lightwand need shorter time but lower success rate than Airtraq.
出处
《四川医学》
CAS
2015年第1期54-56,共3页
Sichuan Medical Journal
