急诊气管插管应用效果观察TruviewTMEV02喉镜的效果观察  

Observation of the effect of TruviewTM EVO2 laryngoscope for emergency endotracheal intubation

作　　者：张作鹏[1] 梁子敬[1] 刘荣[1] 陈剑锋[1] 

机构地区：[1]广州医学院第一附属医院急诊科,广州510120

出　　处：《中华急诊医学杂志》2013年第1期62-64,共3页Chinese Journal of Emergency Medicine

摘　　要：目的观察、评价TruviewTMEVO2光学喉镜在急诊抢救气管插管中的临床效果。方法44例在急诊室进行紧急气管插管的患者，随机（随机数字法）分为观察组（应用TruviewTMEVO2光学喉镜进行气管插管）和对照组（普通喉镜进行气管插管），每组22例。观察指标包括两组患者喉部显露的C／L（Cormack—Lehane）分级，插管时间，插管次数，SpO2的最低下降值和术后并发症；计算IDS评分（intubationdifficultyscalescore）和比较总体有效率。结果两组喉镜插管时间（24．04±6．56）S与（21．97±8．92）S相比差异无统计学意义（P〉0．05）。观察组C／L分级（Ⅰ级：Ⅱ级：Ⅲ级：1V级为10：9：3：0）显著优于对照组（3：7：9：3）（P〈0．01）；观察组插管次数（1次：2次：3次为17：5：0）显著优于对照组（9：8：5）（P〈0．01）；观察组气管插管过程中SpO：的最低下降值（97．31±1．64）％明显高于对照组（92．03±5．39）％；观察组术后并发症发生率较低，IDS评分（0．68±0．38）分显著低于对照组（2．54±1．49）分，及总体有效率（86．36％）明显优于对照组（45．45％），（P〈0．01）。结论光学喉镜应用于急诊气管插管中，声门暴露效果明显，C／L分级有效降低，并发症发生少，有效地增加了气管插管的成功率。Objective To evaluate the value of TruviewTM EVO2 optical laryngoscope for emergency endotracheal intubation in the clinical application. Methods Forty-four patients in need for emergency endotracheal intubation were randomly （ random number） divided into two groups： the observation group （TruviewTM EVO2 optical laryngoscope for tracheal intubation, n = 22 ） and the control group （ordinary laryngoscope for tracheal intubation, n = 22 ）. Parameters recordered included C/L （Cormack-Lehane） grade, the time taken for successful intubation, tracheal intubation times, lowerest SpO2 during the intubation and the incidences of complications after intubation. IDS （ intubation difficulty scale ） scores were calculated and the total effective rates were compared. Results The data showed that there were no significant differences in the duration of the successful endotracheal intubation attempts between the two groups, respectively （24.04 ± 6.56） s and （21.97 ± 8.92） s, P 〉 0.05. The C/L grade with the observation group was 10： 9： 3：0 （ Ⅰ ： Ⅱ ： Ⅲ ： Ⅳ ）, which was significantly better than that with the control group （ 3： 7： 9： 3, P 〈 0.01 ）. The tracheal intubation times of the observation group was 17： 5：0 （ one time： two times： three times）, which was significantly better than that of the control group （ 9： 8： 5, P 〈 0, 01 ）. The. minimum of Sp02 in the observatign ,grqup （97. 3l ± 1.64） % was significantly higher than that in the control group （92.03 ± 5.39） % , （P 〈 0. 01 ）. The incidence of complications after intubation was lower in the observation group. The IDS score in the observation group （0. 68 ±0. 38） was much lower than those in the control group （ 2. 54 ±1.49）, （ P 〈 0. 01 ）. In addition, the total effective rate of the observation group （86. 36% ） was significantly higer than that in the control group （45.45%）, （P 〈 0. 01 ）. Conclusions Using optical laryngoscope for emerge

关 键 词：TruviewTMEVO 光学喉镜 普通喉镜 急诊气管插管 C L分级 IDS评分 

分 类 号：R614[医药卫生—麻醉学]