Truview-EVO_2喉镜与Macintosh喉镜在经口气管插管中的对比研究  

A comparative study of Truview-EVO_2 laryngoscope with Macintosh laryngoscope for oral tracheal intubation

作　　者：李文建[1] 钟庆[1] 陈涛[1] 汪辉德[1] 赵敏[1] 邬瑞刚 

机构地区：[1]四川省简阳市人民医院麻醉科,641400

出　　处：《重庆医学》2011年第27期2758-2759,2762,F0003,共4页Chongqing medicine

摘　　要：目的比较使用Truview-EVO2喉镜与Macintosh喉镜的全麻患者经口气管插管时间、声门暴露等的差异。方法选取2009年4～12月择期腹部手术的全麻患者60例,随机分成两组,Macintosh喉镜(M组),Truview-EVO2喉镜(T组),每组30例。采用静脉麻醉诱导,待患者意识丧失、肌肉松弛后插入气管导管。观察并记录两种喉镜插管所需的时间、插管次数、声门暴露情况(Cormack&Lehane分级)以及插管相关并发症。结果 T组插管时间明显长于M组(P<0.05)。两组声门暴露情况有差异(P<0.05)而患者气管插管相关并发症无差异(P>0.05)。结论与Macintosh喉镜相比,Truview-EVO2喉镜气管插管的时间较长,但能提供更好的声门暴露。Objective To compare Truview-EVO2 laryngoscope with Macintosh laryngoscope for oral tracheal intubation in patients under general anesthesia on the time of trachea intubation and glottic exposure.Methods Sixty ASA I-II patients who scheduled for abdominal surgical procedures requiring tracheal intubation were randomly assigned to M group using Macintosh laryngoscope（n=30） and T group using Truview-EVO2 laryngoscope（n=30）.After standard intravenous anesthetic induction,insertion of endotracheal tube was performed.The time of trachea intubation、number of intubation attempts,class of glottic exposure and incidence of complications were recorded.Results In the time of trachea intubation,T group was longer than M group（P0.05）.There was a statistical significance in distribution of class of glottic exposure between two groups（P0.05）,but the incidence of complications related to tracheal intubation was no obvious difference between two groups（P0.05）.Conclusion Compared with Macintosh laryngoscope,the Truview-EVO2 laryngoscope needs more time to establish an effective airway and could provide a better class of glottic exposure.

关 键 词：MACINTOSH喉镜 Truview-EVO2喉镜 气管插管 

分 类 号：R614[医药卫生—麻醉学]