喉镜联合纤维支气管镜引导插管在困难气道中的应用  

Application of laryngscoope combining fiberoptic bronchoscope intubation in difficult airways

作　　者：赵泽宇[1] 张倩[1] 李志全[1] 李斌[1] 

机构地区：[1]广元市中心医院麻醉科,四川广元628000

出　　处：《西部医学》2010年第4期633-634,共2页Medical Journal of West China

摘　　要：目的探讨喉镜联合纤维支气管镜引导气管内插管在困难气道中的应用价值。方法48例术前评估为困难气道的病人,随机分为观察组和对照组,每组24例,观察组采用喉镜联合纤维支气管镜引导气管内插管,对照组直接在喉镜暴露下气管插管,3次插管不成功者改用喉镜联合纤维支气管镜引导气管内插管。记录两组患者插管成功率及并发症。结果与对照组比较,观察组一次插管成功率高,咽部疼痛和水肿发生率低,差异有统计学意义(P<0.05)。结论对术前评估为困难气道的患者采用喉镜联合纤维支气管镜引导气管内插管可提高插管成功率,减少因直接喉镜反复暴露对患者口咽部造成的水肿,具有临床应用价值。Objective To estimate the clinical value of laryngoscope combining fiberoptic bronchoscope intubation in difficult airways. Methods Forty eight patients with anticipated difficult airways were randomly divided into two groups. Observation group was treated with laryngoscope combining fiberoptic bronchoscope intubation and control group was directly treated tracheal intubation under laryngoscope. The patients with unsuccessful three times with laryngoscope were retreated with laryngoscope combining fiberoptic bronchoseope intubation. The success rate by sub-tracheal intubation and complications were observed. Results The rate of once successful intubation in observation group was higher than that in control group （P〈0. 05） ,and the rate of pharyngodynia and edema in observation group was lower than that in control group （P〈0. 01）. Conclusion Laryngoscope combining fiberoptic bronchoscope intubation in difficult airways was effective to reduce pharyngodynia and edema by directly laryngoscope repeated exposure.

关 键 词：喉镜 纤维支气管镜 插管 困难气道 

分 类 号：R768.1[医药卫生—耳鼻咽喉科]