阻塞性睡眠呼吸暂停综合征患者Glide Scope视频喉镜和Macintosh喉镜气管插管效果比较  

Comparison of nasotracheal intubation with Glide Scope video and Macintosh laryngoscope in obstructive sleep apnea syndrome patients

作　　者：弓胜凯[1] 张卫[1] 

机构地区：[1]郑州大学第一附属医院麻醉科,郑州450052

出　　处：《郑州大学学报（医学版）》2013年第3期398-400,共3页Journal of Zhengzhou University(Medical Sciences)

摘　　要：目的:比较Glide Scope视频喉镜与Macintosh喉镜在阻塞性睡眠呼吸暂停综合征(OSAS)患者引导气管插管中的应用效果。方法:择期行悬雍垂腭咽成形术的OSAS患者60例,分为Glide Scope视频喉镜组(G组,n=30)和Macintosh喉镜组(M组,n=30)。术前应用改良Mallampati法对所有患者进行气道评估,诱导后分别用两种喉镜引导经鼻气管插管,记录Cormack-Lehane分级、插管时间及插管前后平均动脉压(pMA)、心率(fH)变化情况,计算首次插管成功率。结果:G组声门显露程度优于M组(Z=3.907,P<0.001),插管后G组pMA和fH的变化较M组明显轻微(t=2.473、2.647,P<0.05),首次插管成功率G组(86.7%)明显高于M组(63.3%)。结论:与Macintosh喉镜相比,Glide Scope视频喉镜能明显改善OSAS患者临床插管条件,可作为一种有效的插管工具推广应用。Aim ： To appraise the clinical application effects of Glide Scope video laryngoscope and Macintosh laryngo- scope in obstructive sleep apnea syndrome（OSAS） patients. Methods： Sixty OSAS patients （ASA I - lI ） were randomly assigned into two groups ： group G （ Glide Scope video laryngoscope, n = 30） , group M （ Macintosh laryngoscope, n = 30）. Airway difficulty prediction was done with modified Mallampati classification before anesthesia. Cormack-Lehane classifica- tion and the change of haemodynamics were recorded before and after tracheal intubation. The success rate of the first intu- bation was calculated. Results： The Cormack-Lehane grade of group G was significantly better than that of group M （Z = 3. 907 ,P 〈 0. 001 ）. Compared with group M, the changes of PMA and f~ in group G were milder（ t = 2. 473,2. 674, P 〈 0.05）. The first intubation success rate of group G was higher than group M （86.7% vs 63.3% ）. Conclusion： Glide Scope video laryngoscope can effectively improve the clinical condition of intubation in patients with OSAS and should be used widely.

关 键 词：阻塞性睡眠呼吸暂停综合征 GLIDE SCOPE视频喉镜 MACINTOSH喉镜 气管内插管法 

分 类 号：R614.2[医药卫生—麻醉学]