Disposcope无线传输气管插管内视镜在困难气管插管中的应用  

Application of intubation with Disposcope in patients with difficult airway

作　　者：王岚[1,2] 王志萍[1,3] 项舒玮[2] 陈肖[2] 

机构地区：[1]徐州医学院麻醉学院,221004 [2]无锡市中西医结合医院麻醉科 [3]无锡市人民医院麻醉科

出　　处：《江苏医药》2011年第23期2813-2814,共2页Jiangsu Medical Journal

摘　　要：目的观察Disposcope内视镜在困难气道气管插管的应用效果。方法困难气管插管成人患者40例随机均分为Disposcope内视镜(A)组和McCoy喉镜(B)组。记录麻醉诱导前(T0)、诱导后(T1)、插管后即刻(T2)、插管后1min(T3)的平均动脉压(MAP)、心率(HR)及气管插管时间、次数和并发症。结果与T1时比较,两组T2、T3时的MAP明显增高(P<0.05);A组T2时的MAP和HR明显低于B组(P<0.05)。A组插管时间较B组明显缩短[(43.9±14.5)s vs.(90.4±26.6)s](P<0.01)、一次插管成功率明显高于B组(85.0%vs.60.0%)(P<0.05)。结论与McCoy喉镜比较,Disposcope内视镜用于困难气道气管插管一次插管成功率高、插管时间短、应激反应轻。Objective To observe the application of intubation with Disposcope introscope in patients with difficult airway.Methods Forty surgical patients with difficult airway undergoing endotracheal intubation were equally randomized into two groups of A（endotracheal intubation with Disposcope） and B（endotracheal intubation with McCoy laryngoscopy）.Mean arterial pressure（MAP） and HR were recorded before intubation（T1）,immediately after intubation（T2） and at 1 min after intubation（T3）.The duration and times of intubation as well as complications were compared.ResultsCompared to T1,MAP was significantly increased at T2 and T3 in both groups（P0.05）.MAP and HR at T2 were lower in group A than those in group B（P0.05）.The time for intubation was shorter in group A than that in group B [（43.9±14.5） s vs.（90.4±26.6） s]（P0.01）.The success rate of intubation at the first attempt was higher in group A than that in group B（85.0% vs.60.0%）（P0.05）.Conclusion In the patients with difficult airway,tracheal intubation with Disposcope is better than that with McCoy laryngoscope in increasing the success rate of intubation,shortening the duration for intubation and reducing the stress response to intubation.

关 键 词：Disposcope内视镜 困难气道 气管内插管 

分 类 号：R614[医药卫生—麻醉学]