摘要
目的比较可视喉镜气管插管术及光纤喉镜气管插管术在急危重症患者院前急救中的应用效果。方法回顾性分析2018年1月至2020年1月我院100例急危重症患者的临床资料,依据院前急救气管插管方法将其分为光纤喉镜气管插管术组(n=50,光纤喉镜组)和可视喉镜气管插管术组(n=50,可视喉镜组)。比较两组患者的声门暴露时间、插管时间、一次插管成功率及并发症发生情况。结果可视喉镜组的声门暴露时间、插管时间显著短于光纤喉镜组,一次插管成功率显著高于光纤喉镜组(P<0.05)。可视喉镜组的并发症总发生率显著低于光纤喉镜组(P<0.05)。结论在急危重症患者院前急救中,可视喉镜气管插管术的应用效果较光纤喉镜气管插管术更好。
Objective To compare the application effects of endotracheal intubation under glidescope and fiberoptic laryngoscope in prehospital emergency of patients with emergency and severe disease.Methods The clinical data of 100 patients with emergency and severe disease in our hospital from January 2018 to January 2020 were retrospectively analyzed.According to the methods of prehospital emergency endotracheal intubation,the patients were divided into endotracheal intubation under fiberoptic laryngoscope group(n=50,fiberoptic laryngoscope group)and endotracheal intubation under glidescope group(n=50,glidescope group).The glottis exposure time,intubation time,success rate of one-time intubation and complications were compared between the two groups.Results The glottic exposure time and intubation time of the glidescope group were significantly shorter than those of the fiberoptic laryngoscope group,and the success rate of one-time intubation was significantly higher than that of the fiberoptic laryngoscope group(P<0.05).The total incidence of complications in the glidescope group was significantly lower than that in the fiberoptic laryngoscope group(P<0.05).Conclusion In the prehospital emergency of patients with emergency and severe disease,the application effect of endotracheal intubation under glidescope is better than that of endotracheal intubation under fiberoptic laryngoscope.
作者
叶潇文
YE Xiaowen(Shanghai Medical Emergency Center,Shanghai 200122,China)
出处
《临床医学研究与实践》
2020年第34期109-110,共2页
Clinical Research and Practice
关键词
急危重症
院前急救
光纤喉镜气管插管术
可视喉镜气管插管术
emergency and severe disease
prehospital emergency
endotracheal intubation under fiberoptic laryngoscope
endotracheal intubation under glidescope
