摘要
目的评价Glide Scope视频喉镜应用于全麻剖宫产手术气管插管的有效性和安全性。方法择期行全麻剖宫产手术患者30例,随机分为M组与G组,每组15例。M组采用McCoy喉镜行气管插管术, G组采用Glide Scope视频喉镜行气管插管术。记录2组声门暴露分级、一次插管成功例数、插管时间;记录2组麻醉诱导前(T 1)、插管后即刻(T 2)、插管后 1 min (T 3)、插管后5 min(T 4)的心率(HR)和平均动脉压(MAP);记录2组插管后口咽黏膜损伤、牙齿牙龈损伤、拔管后咽痛和声音嘶哑等不良反应的发生情况。结果 G组声门暴露分级显著低于M组( P <0.05),插管时间显著短于M组( P < 0.05)。2组一次插管成功例数比较,差异无统计学意义( P >0.05)。M组T 2时点的HR、MAP显著高于G组( P <0.05)。 G组的气管插管不良反应发生率显著低于M组( P <0.05)。结论 Glide Scope视频喉镜应用于全麻剖宫产手术气管插管具有声门暴露容易、气管插管成功率高、插管时间短、不良反应少等优势。
Objective To evaluate the efficiency and safety of Glide Scope videolaryngoscope in tracheal intubation of patients with cesarean section under general anesthesia. Methods Totally 30 patients with selective cesarean section under general anesthesia were randomly divided into group M and group G, with 15 cases in each group. Group M underwent tracheal intubation by McCoy laryngoscope, and Group G underwent tracheal intubation by Glide Scope videolaryngoscope. The exposure grade of glottis, the number of patients with successful intubation by one time and intubation time were recorded in both groups. The heart rate (HR) and mean arterial pressure (MAP) were recorded at time points of before induction of anesthesia (T 1), immediately after intubation (T 2), 1 minute after intubation (T 3), 5 minutes after intubation (T 4). The complications such as oral and pharyngeal mucosa injury, gum injury, pharyngalgia and hoarseness after extubation were recorded in both groups. Results The exposure grade of glottis in group G was significantly lower than that in group M ( P <0.05), and the intubation time was significantly shorter than that in group M ( P < 0.05). There was no significant difference in the number of patients with successful intubation by one time between the two groups ( P >0.05). HR and MAP at T 2 in group M were significantly higher than those in group G ( P <0.05). The incidence of adverse reactions caused by tracheal intubation in group G was significantly lower than that in group M ( P <0.05). Conclusion Glide Scope videolaryngoscope has the advantages of easy glottic exposure, high success rate of tracheal intubation ,short intubation time and less adverse reactions in tracheal intubation of patients with cesarean section under general anesthesia.
作者
章文靖
姚飞
熊华平
许少军
ZHANG Wenjing;YAO Fei;XIONG Huaping;XU Shaojun(Department of Anesthesiology,Wuxi Maternal and Child Health Care Hospital Affiliated to Nanjing Medical University,Wuxi,Jiangsu,214002)
出处
《实用临床医药杂志》
CAS
2019年第12期16-18,22,共4页
Journal of Clinical Medicine in Practice
