GlideScope视频喉镜在口腔颌面肿瘤患者全麻经鼻气管插管的应用  

Application of GlideScope System in Nasotracheal Intubation during Oral and Maxillofacial Tumor Surgery

作　　者：杨少勇[1] 李锦诚[1] 郭东勇[1] 

机构地区：[1]天津市肿瘤防治重点实验室,天津医科大学附属肿瘤医院麻醉科,天津市300060

出　　处：《中国肿瘤临床》2011年第4期235-237,共3页Chinese Journal of Clinical Oncology

摘　　要：目的:比较GlideScope视频喉镜与Macintosh喉镜应用于颌面部肿瘤手术患者全麻经鼻插管的过程。方法:48例口腔颌面肿瘤择期行全麻下手术患者随机分组,给予表面麻醉及清醒镇静后分别使用两种喉镜窥视声门,引导行经鼻腔气管插管,记录声门暴露时间,插管时间、声门暴露程度、手法辅助及气管钳使用情况、咽部损伤分级、插管困难模拟评分。结果:使用Glide-Scope缩短了插管时间[22(15～33)s]比[28(16～45)s],P=0.032。声门暴露分级更佳,咽喉部损伤分级降低,插管难度评分降低。结论:GlideScope视频喉镜更适用于颌面部肿瘤患者经鼻腔气管插管。Objective： To compare the value of Macintosh laryngoscopy （ML） and the GlideSeope videolaryngoseope （GL） for nasotracheal intubation in oral and maxillofacial tumor surgery. Methods： A total of 48 patients receiving nasotracheal intubation in elective oral and maxillofacial tumor surgery were randomly divided into GL group and ML group under the condition of local anesthesia and awake sedation. Exposure of the glottis, intubation duration, application of Magill forceps and the throat injury were evaluated. A Visual Analog Scale assessing the intubation were recorded. Results： The GL group had impoved exposure of the glottis and shorter intubation duration （ 15-33s, 22s on average） than the ML group （ 16-45s, 28s on average ）, with a significant difference （ P = 0.032 ）. Nasotracheal intubation was easier with the GL than with ML （ Visual Analog Scale 13 （ 4 - 22 ） vs 27 （ 10 - 40 ）, P 〈 0.01 ）. The incidence of injury during intubation was lower in the GL group. No patients needed Magill forceps in the GL group. Conclusion： Com- pared with ML, GL has superior performance in nasotracheal intubation during oral and maxillofacial tumor surgery under the condition of local anesthesia and awake sedation.

关 键 词：视频喉镜 经鼻腔气管插管 口腔颌面部肿瘤 

分 类 号：R614[医药卫生—麻醉学]