UE视频喉镜用于甲状腺肿瘤手术全身麻醉气管插管的临床观察  

Clinical Observation of Endotracheal Intubation with UE Video Laryngoscope for Thyroid Tumor Surgery Under General Anesthesia

作　　者：李健森[1] 李锦成[1] 郭兵[1] 高鲁渤[1] 

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

出　　处：《中国肿瘤临床》2012年第16期1222-1224,共3页Chinese Journal of Clinical Oncology

摘　　要：目的:探讨UE视频喉镜在甲状腺手术麻醉中行气管插管的可行性。方法:随机选择2011年7月至2012年1月经口气管插管全身麻醉甲状腺肿瘤手术的患者76例,ASAⅠ～Ⅱ级,分为2组,即:Ⅰ组(U)采用UE视频喉镜实施经口气管插管,Ⅱ组(M)常规采用麦氏(Macintosh型)直接喉镜实施经口气管插管,年龄19～65岁,常规麻醉诱导:芬太尼(2～3)μg·kg^(-1),异丙酚2mg·kg^(-1),罗库溴铵0.6mg·kg^(-1)。记录显露声门时间、插管时间、喉部显露情况Cormack-Lehane(C/L)分级及麻醉诱导气管插管期间不同时间点(T1、T2、T3、T4)平均动脉压(MAP)、心率(HR)。结果:Ⅰ组(U)满意显露声门的时间为(15.48±5.43)s,Ⅱ组(M)为(15.36+3.01)s;Ⅰ组(U)气管插管的时间为(30.20±10.31)s,Ⅱ组(M)为(30.11±14.36)s。两组麻醉诱导气管插管期间与基础值T1比较,T2及T3时段MAP降低(P<0.05),T4时段心率增加显著(P<0.05),两组间差异无统计学意义(P>0.05)。结论:UE视频喉镜在甲状腺肿瘤手术全身麻醉行气管插管过程中能安全有效地显露声门,气管插管刺激及损伤较小,能解决部分临床气管插管困难的问题。Objective： To observation usability and security of UE video laryngoscope for tracheal intubation in thyroid tumor operative anesthesia. Methods： Seventy-six ASA Ⅰ - Ⅱ thyroid tumor operation patients, aged （ 19 - 65 ） years, under tracheal intubation general anesthesia were randomly assigned into 2 groups （ n = 38 each ）, Anesthesia was induced with fentany 12 - 3 ug. kg-1,propofol 2 mg. kg-1, recuronium 0.6 mg. kg-1 and maintained with propofol 2 mg. kg＇. Orotracheal had intubated by UE video laryngoscope （ group U ） recuronium were injected intravenously in 3 min; Group M patients were intubated by Macintosh direct laryngoscopy. The glottic exposure time and the tracheal intubation time were recorded. The BP and HR were recorded before and after induction of anesthesia during tracheal intubation. Results： The glottic exposure times in group U and group M were （ 15.48 ± 5.43 ）s and （ 15.6 ±3.01 ）s respectively. In group U the mean tracheal intubation time was （ 30.20 ±10.31 ）s. and in group M was （ 30.11 ± 14.36 ）s. The BP and HR were significantly decreased after induction of anesthesia,but BP and HR was significantly increased during tracheal intubation in both groups. Conclusions： UE video laryngoscope in thyroid neoplasms surgery under general anesthesia during intubation safely and effectively subglottic revealed, lesser tracheal irritation and damage were achieved.

关 键 词：甲状腺肿瘤手术 气管插管 视频喉镜 直接喉镜 

分 类 号：R614[医药卫生—麻醉学]