摘要
目的:探讨可视喉镜在院前急救气管插管中的应用及其临床价值。方法:选取2019年3月~2022年12月本院急诊救治的危重症患者60例,按照随机数表法划分组别,对照组30例接受传统光学喉镜插管,观察组30例于可视喉镜辅助下完成气管插管,比较两组的声门暴露情况、插管相关指标、不同插管时间基础体征[心率(HR)、平均动脉压(MAP)、心率与收缩压乘积(RPP)]变化以及并发症发生情况。结果:观察组声门暴露有效率(96.67%)高于对照组(73.33%),观察组一次插管及总插管成功率均高于对照组,插管时间短于对照组,差异存在统计学意义(P<0.05)。观察组插管后即刻、插管后3min的基础体征指标(HR、MAP及RPP)测定值均低于对照组,差异存在统计学意义(P<0.05)。观察组发生并发症的患者总占比明显较对照组低,差异存在统计学意义(P<0.05)。结论:可视喉镜辅助下行气管插管,能够提升院前急救患者的声门暴露效果,提高插管成功率,缩短插管时间,维持患者基础体征平稳,并减少并发症发生。
Objective:To explore the application and clinical value of visual laryngoscope in pre hospital emergency tracheal intubation.Methods:60 critically ill patients who underwent emergency treatment in our hospital from March 2019 to December 2022 were selected and divided into groups using a random number table method.The control group consisted of 30 patients who received traditional optical laryngoscope intubation,while the observation group consisted of 30 patients who completed tracheal intubation with the assistance of a visual laryngoscope.The exposure of the glottis,intubation related indicators,and changes in basic physical signs[heart rate(HR),mean arterial pressure(MAP),product of heart rate and systolic blood pressure(RPP)]at different intubation times,and incidence of complications.The effective rate of glottis exposure in the observation group(96.67%)was higher than that in the control group(73.33%),and the success rates of one intubation and total intubation in the observation group were higher than those in the control group.The intubation time was shorter than that in the control group.The basic physical indicators(HR,MAP,and RPP)measured immediately after intubation and 3 minutes after intubation in the observation group were lower than those in the control group,with statistically significant differences(P<0.05).The total proportion of patients with complications in the observation group was significantly lower than that in the control group,and the differences were statistically significant(P<0.05).Conclusion:Visual laryngoscope assisted tracheal intubation can improve the exposure effect of glottis in pre hospital emergency patients,improve the success rate of intubation,shorten intubation time,maintain stable basic physical signs of patients,and reduce the occurrence of complications.
作者
严习博
YAN Xi-bo(Xingguo County People’s Hospital,Jiangxi Ganzhou 342400)
出处
《中国医疗器械信息》
2024年第4期78-80,共3页
China Medical Device Information
关键词
院前急救
气管插管
可视喉镜
声门暴露
基础体征
pre hospital first aid
tracheal intubation
visual laryngoscope
exposure of the glottis
basic signs
