Glide Scope视频喉镜在双腔支气管导管插管中的临床应用  

Clinical application of Glide Scope in a double-lumen endobronchial intubation

作　　者：李锁北[1] 阮溦[1] 杨东林[1] 徐军美 

机构地区：[1]中南大学湘雅二医院麻醉科,湖南长沙410011

出　　处：《中国内镜杂志》2010年第5期492-495,共4页China Journal of Endoscopy

摘　　要：目的评价Glide Scope视频喉镜应用于左侧双腔支气管导管插管中的应用价值。方法 ASA分级为Ⅰ、Ⅱ级择期胸科手术患者50例,随机平均分为Glide Scope视频喉镜(GSVL)组、Macintosh直接喉镜(MDLS)组,每组25例。分别观察Glide Scope视频喉镜和Macintosh型直接喉镜插左侧双腔支气管的到位情况、插管所用时间、气管损伤情况。结果 GSVL组25例均一次插入左主支气管,MDLS组2例旋转错位,4例反向错位,19例一次插入左主支气管,成功率为76%,两组比较差异有显著性(P<0.05);GSVL组较MDLS组的气管插管时间平均延长14s,GSVL组气管损伤发生率低于MDLS组,两组比较差异无显著性(P<0.05)。结论 G1ide Scope视频喉镜用于左侧双腔支气管插管时更容易暴露声门,插管成功率较高,且气管损伤小,但不能缩短插管时间。[Objective]To evaluate the clinical application of Glide Scope video laryngoscope in a double-lumen endobronchial intubation. [Methods]Fifty patients （ASA Ⅰ or Ⅱ） scheduled for selective thoracic surgery operation were randomly devided into 2 groups （n =25 each） ： Glide Scope video laryngoscope （Group GSVL） and Macintosh direct laryngoscope （Group MDLS）. Intubating achievement ratio, the endobronchial intubation time and injury of respiratory tract were observed in each group.[Results]All patients were successfully intubated with a left DLT via the GSVL. In MDLS group, 2 patients of rotation displacement, 4 patients of reverse displacement the intubating achievement ratio was 76% （P〈0.05）. The endobronchial intubation time in GSVL group was longer than that in MDLS group, the incidence of injury of respiratory tract was lower than that in MDLS, but there was no significant difference between the two groups. [Conclusion]GSVL, compared with MDLS in the double-lumen endobronchial intubation, can yield better glottic exposure view and higher achievement ratio, injury of respiratory tract is less, but the intubation time of GSVL is longer than MDLS.

关 键 词：支气管插管 GLIDE SCOPE视频喉镜 MACINTOSH直接喉镜 

分 类 号：R614[医药卫生—麻醉学]