自制气管插管鉴定球在全麻患者气管插管中的应用  

Application of Self-made Tracheal Detecting-ball during Endotracheal Incubation in General Anesthesia

作　　者：张钧[1] 张跃[1] 王雁娟[2] 

机构地区：[1]南京医科大学附属淮安市第一人民医院,江苏省淮安市223300 [2]南京医科大学附属无锡人民医院

出　　处：《中国全科医学》2011年第8期918-919,共2页Chinese General Practice

摘　　要：目的探讨自制气管插管鉴定球在全麻患者气管内插管中的应用效果。方法 300例美国麻醉医师协会(ASA)分级为Ⅰ～Ⅱ级的择期手术患者随机分为两组:气管组200例和食管组100例,分别应用自制气管插管鉴定球和呼气末二氧化碳(PETCO2)检测法检测气管导管位置。结果 PETCO2法检测结果的正确率为100%,自制气管插管鉴定球法检测结果的正确率为99.33%,两种检测方法的检测结果比较,差异无统计学意义(χ2=0.03,P>0.05)。结论自制气管插管鉴定球可以准确地检测气管导管的位置,是一种有价值的新方法。Objective To explore the application of a self-made tracheal detecting-ball during endotracheal inubation in general anesthesia. Methods Totally 300 American Society of Anesthesiologists（ASA） class Ⅰ-Ⅱ patients who underwent selective operations in our department were divided into two groups：tracheal intubation（TI） group（n=200,the location of catheter was detected with a self-made tracheal detecting-ball） and esophageal intubation（EI） group（n=100,the location of catheter was detected by partial end-tidal CO2 pressure（PETCO2）. Results The location of catheter was correctly detected in all cases in EI group and 99.33% of cases in TI group,the difference was not statistical（χ2=0.03,P0.05）. Conclusion This self-made tracheal detecting-ball can accurately detect the location of tracheal catheter and therefore can be applied in general anesthesia.

关 键 词：气管插管鉴定球 插管法 气管内 麻醉 全身 

分 类 号：R768.1[医药卫生—耳鼻咽喉科]