视可尼喉镜在困难气管插管的应用  

Application of Shikani Seeing Optical Stylet in difficult tracheal intubation

作　　者：李胜华[1] 王长社[1] 陆铭[1] 

机构地区：[1]上海市嘉定区妇幼保健院麻醉科,上海201800

出　　处：《徐州医学院学报》2010年第2期121-123,共3页Acta Academiae Medicinae Xuzhou

摘　　要：目的观察视可尼喉镜(SOS)应用于困难气管插管的成功率及安全性。方法30例术前评估预测为困难气管插管的择期手术患者,随机分为2组(每组n=15),S组用SOS插管,M组用McCoy喉镜插管。2组病例均采用快速顺序静脉诱导,由同一名麻醉医师完成气管插管操作。记录麻醉诱导前(T1)、气管插管开始时(T2)、气管插管完成时(T3)的平均动脉压(MAP)、心率(HR)、脉搏氧饱和度(SpO2)以及插管时间、次数和并发症。结果2组患者MAP、HR在T1、T2时差异无显著性(P>0.05),T3时M组MAP、HR较S组升高(P<0.05)。与T1时比较,T3时M组MAP、HR升高(P<0.05)。2组患者SpO2组内、组间差异均无显著性(P>0.05)。S组插管时间较M组明显缩短(P<0.01)。S组一次插管成功率明显高于M组(P<0.05),2组声音嘶哑发生率差异无显著性(P>0.05)。结论SOS用于困难气管插管成功率高、插管反应轻、安全性好,插管时间缩短,优于McCoy喉镜。Objective To investigate the success rate and the safety of Shikani Seeing Optical Stylet（SOS） in difficult tracheal intubation.Methods 30 patients undergoing elective operation who were predicted as difficult tracheal intubation were randomly divided into 2 groups（n=15 each）.Group S were intubated with SOS,group M were intubated with McCoy laryngoscope.Both groups underwent the rapid sequence induction,with the same anesthetist performing the intubation.The mean arterial pressure（MAP）,heart rate（HR） and pulse oximetry（SpO2） at different time points such as the time before induction（T1）,the onset of intubation（T2）,the end of intubation（T3）,the duration and times of intubation as well as complications were recorded.Results No significant differences in MAP and HR were observed between the two groups at T1 and T2（P0.05）.At T3,MAP and HR in group M were significantly higher than those in group S（P0.05）.MAP and HR of group M at T3 were significantly higher than those at T1（P0.05）.No significant difference of SpO2 was found between the two groups at different time points（P0.05）.The intubation duration of group S was significantly shorter than that of group M（P0.01）.The success rate of intubation in the first attempt was significantly higher in group S than in group M（P0.05）.No significant difference in the incidence of celostomia after operation was found between the two groups（P0.05）.Conclusion SOS is superior to McCoy laryngoscope in the management of difficult tracheal intubation for its higher success rate of intubation,milder intubation response,greater safety,and shorter duration for intubation.

关 键 词：困难气管插管 视可尼喉镜 MCCOY喉镜 

分 类 号：R614.2[医药卫生—麻醉学]