光棒用于困难气道伴口腔活动性出血的气管插管  

Use of light-stylet in the management of difficult airway with active oral bleeding

作　　者：周脉涛[1] 郑友芝[1] 洪卫明[1] 虞大为[1] 顾成永[1] 华君[1] 仲玉霜[1] 

机构地区：[1]解放军第101医院麻醉科,江苏省无锡214044

出　　处：《中华急诊医学杂志》2010年第9期970-973,共4页Chinese Journal of Emergency Medicine

基　　金：南京军区＂十一五＂医药卫生科研基金资助项目（07M014）;南京军区卫生专业人才培养122工程基金资助项目

摘　　要：目的 比较光棒和McCoy可调喉镜用于困难气道伴口腔活动性出血的气管插管效果.方法 经一名麻醉主治医生使用普通喉镜两次插管失败的口腔活动性出血外伤手术患者30例,随机（随机数字法）分成光棒（LW）组和McCoy可调喉镜（MC）组（n=15）.记录两组插管成功率和插管时间.结果 LW组一次和总插管成功率均高于MC组（14/15比6/15,P=0.005;15/15比9/15,P=0.017）.LW组插管时间短于MC组[24（23,34）s比48（31,119）s,P=0.011].MC组中有6例患者插管失败改用光棒插管成功.结论 光棒是困难气道伴口腔活动性出血患者建立人工气道的有效方法.Objective To compare the rates of successful intubation between light-stylet and adjustable McCoy laryngoscope for the management of difficult airway with active oral bleeding. Method Thirty casualties traumatized with active oral bleeding were enrolled after failure of endotracheal intubation tried twice by an attending doctor with Macintosh laryngoscope. The patients were randomly（ random number） divided into light-stylet （LS）group and McCoy laryngoscope（MC） group （ n = 15 in each group）. The rate of successful intubation and the time consumed for intubation were recorded. Results The rate of successful intubation at the first attempt and the total rate of successful intubation in LS group were higher than those in MC group （14/15 vs. 6/15, P =0.005, 15/15 vs. 9/15, P =0.017, respectively）. The time consumed for intubation was less in LS group than that in MC group （24 seconds in average,ranged from 23 ～ 34 seconds vs 48 seconds in average, ranged from 31 ～ 119 seconds, P =0.011）. Conclusions The light-stylet is a novel tool for intubation in casualties with difficult airway and active oral bleeding with high success rate.

关 键 词：光棒 喉镜 困难气道 口腔 出血 

分 类 号：R614[医药卫生—麻醉学]