健忘镇痛慢诱导下喉镜辅助经口盲探气管插管在困难气道中的应用  

The application of forgetfulness analgesia slow induction assisted laryngoscope in tracheal intubation in the patients with difficult airways

作　　者：汪萍[1] 骆宏[1] 张地宝[1] 陈界石[1] 杨恒[1] 

机构地区：[1]安徽省合肥市第一人民医院滨湖医院麻醉科,安徽合肥230061

出　　处：《安徽医药》2012年第12期1866-1867,共2页Anhui Medical and Pharmaceutical Journal

摘　　要：目的探讨健忘镇痛慢诱导下喉镜辅助联合听呼吸音法行经口盲探气管气管插管在困难气道中应用效果。方法择期Mallampati分级Ⅲ～Ⅳ级全麻插管手术患者20例,随机分为喉镜直接插管组(A组)和喉镜辅助听呼吸音组(B组)。记录两组首次插管成功例数、最终插管完成情况、插管时间,以及术后24 h有无吞咽时咽痛情况。结果 A组和B组首次插管成功率分别为50%和100%(P<0.05);A组插管时间(72.2±25.72)s较B组插管时间(33.7±6.53)s明显延长(P<0.01);A组首次气管插管失败后采用B组方法均一次性完成气管插管。结论健忘镇痛慢诱导下喉镜辅助联合听呼吸音法行经口盲探气管气管插管,可安全、有效地应用于临床麻醉中困难气道的处理。Objective To evaluate the effect of the application of forgetfulness analgesia slow induction assisted laryngoscope in tracheal intubation in the patients with difficult airways.Methods Twenty patients scheduled for trachea intubation with airway rated to Ш or IV according to Mallampati were admitted into this study,they were equally randomised into laryngoscope group（group A） and assisted laryngoscope group（group B）.The rates of successful intubation and the time for intubaiton were recorded.Results The successful intubation rate was higher in group B（100%） than in group A（50%）,respectively（P0.05）.The time for intubation was shorter in group B（33.7±6.53）s than in group A（72.2±25.72）s,respectively（P0.01）.Conclusion The application of forgetfulness analgesia slow induction assisted laryngoscope in difficult airway is a safe and effective way.

关 键 词：慢诱导 困难气道 盲探气管插管 

分 类 号：R614[医药卫生—麻醉学]