光棒在快速诱导经鼻气管内插管中的应用研究  

Application of flexible lightwand-guided transnasal tracheal intubation during rapid sequence induction

作　　者：郑友芝[1] 周脉涛[1] 顾成永[1] 仲玉霜[1] 张亚飞[1] 虞大为[1] 

机构地区：[1]解放军第101医院麻醉科,无锡市214044

出　　处：《临床麻醉学杂志》2008年第11期955-956,共2页Journal of Clinical Anesthesiology

摘　　要：目的探讨快速诱导麻醉下光棒引导经鼻气管内插管临床效果。方法60例全麻患者随机均分为光棒(LW)组和纤维支气管镜(BF)组,比较两组插管时间、置管成功率和导管通过声门顺利率。结果在规定的3min内,LW组插管成功率显著高于BF组(96.7%vs.70.0%,P<0.05);LW组插管时间明显短于BF组[(38.9±16.2)svs.(133.0±37.9)s,P<0.01]。LW组导管通过声门顺利率高于BF组(96.6%vs.66.7%,P<0.05)。结论光棒引导经鼻气管内插管,是口腔颌面部手术全麻快速诱导建立气道安全、有效、快捷的方法之一。Objective To investigate the outcomes of transnasal tracheal intubation guided by flexible lightwand during rapid .sequence induction. Methods Sixty patients scheduled for nasal intubation were randomly divided into two groups of guided by lightwand （group LW） and guided by branchofiberoscope （group BF ） with 30 cases each. The time spent on intubation, the success rate and the rate of gelling through the glottis at the first attempt were recorded. Results The success rate of tracheal intubation was higher in group LW than that in group BF（96.7% vs. 70.0% ,P〈 0. 05）. So did the rate of getting through the glottis at the first attempt（96.6% vs. 66.7%, P〈 0.05）. The lime spent on intubation was shorter in group LW than that in group BF [（38.9±16.2） s vs. （ 133.0±37.9） s, P〈 0.01 ]. Conclusion Transnasal tracheal intubation guided by flexible lightwand during rapid sequence induction is one of effective, quiker and safe techniques.

关 键 词：光棒 气管插管 临床研究 患者 

分 类 号：R614[医药卫生—麻醉学] R782[医药卫生—外科学]