比较GlideScope可视喉镜、光杖与直接喉镜行气管插管对正常血压患者的影响  

Comparison of three different intubating devices on normotensive patients

作　　者：余海[1] 杨小芸[2] 朱达[1] 周棱[1] 吕沛林[1] 黄程[2] 刘斌[1] 

机构地区：[1]四川大学华西医院麻醉科,四川成都610041 [2]四川大学华西第二医院妇产科,四川成都610041

出　　处：《四川医学》2009年第10期1532-1534,共3页Sichuan Medical Journal

摘　　要：目的比较3种不同气管插管方法:GlideScope可视喉镜(GS)、光杖(LW)和直接喉镜(DL)对正常血压患者的影响。方法120例择期手术患者随机分为3组:GS、LW和DL组。监测诱导前、插管前、插管后即刻及插管后5min内每隔1min的血压(BP)和心率(HR),并记录插管时间、插管次数和插管相关并发症。结果插管后,GS、DL和LW组的BP和HR在各时间点差异无统计学意义(P>0.05)。LW组插管时间和插管后声嘶、咽痛率显著高于GS和DL组(P<0.05)。结论GS与DL比LW更适合于正常血压患者。Objective To compare the effects of three different intubating devices with styletted tracheal tube：GlideScope（GS）,lightwand（LW）and direct laryngoscope（DL）in normotensive patients.Methods 120 patients were randomly assigned into one of three groups：GS group,LW group and DL group.Noninvasive blood pressure（BP）and heart rate（HR）were recorded before induction,before intubation,immediately after intubation,and for 5min at one-minute intervals.Time-to-intubation,number of attempts and complications during tracheal intubation were also recorded.Results No significant differences of SBP,DBPand HR were noted among three groups.Number of attempts,duration of the intubation procedure as well as postoperative hoarseness or sore throat were significantly higher in LW group than that in GS and DL groups（P〈0.05）.Conclusion We concluded that GS and DL are better than LW for normtensive patients.

关 键 词：GlideScope可视喉镜 光杖 直接喉镜 血流动力学反应 插管并发症 

分 类 号：R614[医药卫生—麻醉学]