Truview^(TM) EVO_2光学喉镜和Macintosh直接喉镜经口气管插管时血流动力学反应的比较  

Hemodynamic responses to orotracheal intubation:a comparison between Truview^(TM) EVO_2 optic laryngoscope and Macintosh direct laryngoscope

作　　者：王森[1] 李金宝[1] 倪文[1] 邓小明[1] 

机构地区：[1]第二军医大学长海医院麻醉科,上海200433

出　　处：《第二军医大学学报》2008年第8期954-957,共4页Academic Journal of Second Military Medical University

摘　　要：目的:比较TruviewTM EVO2光学喉镜和Macintosh直接喉镜经口气管插管时的血流动力学反应。方法:80例ASA分级Ⅰ~Ⅱ级,年龄18~65岁,拟在经口气管插管全身麻醉下实施择期手术的患者,随机分为T组和M组2组,每组各40例患者。在静脉麻醉诱导后,T组和M组分别应用TruviewTM EVO2光学喉镜和Macintosh直接喉镜实施经口气管插管操作。记录麻醉诱导前(T0)、气管插管前(T1)、气管插管即刻(T2)、气管插管后1 min(T3)、3 min(T4)、5 min(T5)时的心率(HR)、收缩压(SBP)、舒张压(DBP)、平均动脉压(MAP)及脉搏血氧饱和度(SpO2),并记录喉部结构显露时间、插管完成时间。结果:两组患者除插管即刻(T2)的HR差异显著外(P<0.05),观察期内其他各对应时间点的血流动力学指标无显著性差异(P>0.05)。两组患者喉部结构显露时间差异无统计学意义(P>0.05);T组患者的气管插管完成时间较M组延长(P<0.05),但无超过60 s者。结论:TruviewTM EVO2光学喉镜和Macintosh直接喉镜经口气管插管可引起相似的血流动力学反应。Objective： To compare the hemodynamic responses to orotracheal intubation between Truview^TM EVO2 optic laryngoscope and Macintosh direct laryngoscope. Methods： Eighty adult patients （ASA physical status Ⅰ～Ⅱ,aged 18-65 years） scheduled for elective surgery under general anesthesia requiring orotracbeal intubation were randomly divided into 2 groups （n 40 each） ：T group and M group. After standard intravenous anesthetic induction,orotracheal intubation was performed with Truview^TM EVO2 optic laryngoscope or Macintosh direct laryngoscope. Non-invasive heart rate （HR）, systolic blood pressure （SBP）,diastolic blood pressure （DBP）,mean arterial pressure （MAP） and SpO2 were recorded before（T0） and after anesthetic induction （T1）,at intubation （T2）,1 minutes （T3）,3 minutes （T4） and 5 minute after intubation （T5）. The laryngeal exposure period and intubation period were also recorded. Statistical analysis was performed using the Statistical Package for Social Sciences （SPSS） Version 13. 0. Results： Except for HR at intubation （T2）, there was no significant difference in the hemodynamic data at any other time points between the two groups. There was no significant difference in the laryngeal exposure period between the two groups. The intubation time in the T group was significantly longer than that in the M group （P〈 0.05） ,but no more than 60 seconds. Conclusion： The bemodynamic responses produced by orotracbeal intubation are similar between Truview^TM EVO2 optic laryngoscope and Macintosh direct laryngoscope.

关 键 词：TRUVIEW^TM EVO2光学喉镜 MACINTOSH直接喉镜 经口气管插管 血流动力学 

分 类 号：R443.7[医药卫生—诊断学]