HPHJ-A视频喉镜与Macintosh喉镜的临床应用效果对比研究  

Comparison between HPHJ-A video laryngoscope and macintosh laryngoscope in clinical intubation

作　　者：刘虎[1] 石学银[1] 陈巍[1] 普隽[1] 袁红斌[1] 刘刚[1] 

机构地区：[1]第二军医大学长征医院麻醉科,上海200003

出　　处：《第二军医大学学报》2010年第10期1073-1075,共3页Academic Journal of Second Military Medical University

基　　金：军队"十一五"重点专项课题(08Z021)~~

摘　　要：目的对比观察HPHJ-A视频喉镜与Macintosh喉镜的临床插管应用效果,分析各自的优缺点。方法选择100例拟行气管插管全麻的患者,随机均分为2组,分别应用HPHJ-A视频喉镜和Macintosh喉镜进行声门暴露,插管。观察并记录使用两种喉镜暴露患者声门的Cormack-Lehane分级,插管前后患者血流动力学变化,插管时间及插管尝试次数。结果 HPHJ-A视频喉镜暴露声门的Cormack-Lehane分级结果明显优于Macintosh喉镜,两组患者的血流动力学变化、插管时间及插管尝试次数没有显著差异。以患者是否存在困难插管进行亚组处理,Cormack-Lehane分级Ⅲ～Ⅳ级患者使用HPHJ-A视频喉镜的血流动力学影响更小(P<0.05),插管时间和插管尝试次数更少(P<0.05)。结论 HPHJ-A视频喉镜与Macintosh喉镜相比可以明显改善声门的暴露状况,尤其对困难气道患者的麻醉管理具有一定的优势。Objective To compare the clinical outcomes of intubation between HPHJ-A video laryngoscope and Macintosh laryngoscope,and to analyze the advantages and disadvantages of each approach.Methods Totally 100patients who were to undergo general anesthesia with endotracheal intubation were randomly allocated for airway management with one of the two devices：HPHJ-A video laryngoscope and Macintosh laryngoscope.The following data were observed and recorded for the two groups：the Cormack-Lehane grade of exposing the glottis,hemodynamic alteration before and after endotracheal intubation,intubation time,and intubation attempts.Results HPHJ-A video laryngoscope resulted in a better glottis exposure than the Macintosh laryngoscope,and the results of hemodynamic alteration,intubation time,and intubation attempts were similar between the two groups.For patients with a difficult airway（Cormack-LehaneⅢ-Ⅳ）,HPHJ-A video laryngoscope resulted in a slighter hemodynamic alteration（P〈0.05）,a higher successful intubation rate,and a shorter intubation time（P〈0.05）compared with Macintosh laryngoscope.Conclusion The HPHJ-A video laryngoscope can greatly improve the glottic exposure compared with the Macintosh laryngoscope,especially for patients with difficult airway.

关 键 词：气管内插管法 HPHJ A视频喉镜 MACINTOSH喉镜 

分 类 号：R614[医药卫生—麻醉学]