两种视频喉镜与直接喉镜在气管插管中临床应用  

Two types of video laryngoscopy versus direct laryngoscopy for endotracheal intubation,a comparative study of clinical practice

作　　者：张传骧 

机构地区：[1]淮北矿工总医院麻醉科,235000

出　　处：《安徽医学》2013年第7期900-903,共4页Anhui Medical Journal

摘　　要：目的探讨及比较两种视频喉镜在全麻气管插管中的应用价值。方法选择Mallampati I-Ⅲ级的患者90例。按照Mallampatis分级随机分为3组:M组(Macintosh喉镜组,n=30),A组(Airtraq视频喉镜组,n=30),H组(UE-HC可视喉镜,n=30)。比较各组插管时间、一次插管成功率、误插率、咽部不适发生率,每组Cormack.Lehane分级情况。结果视频喉镜比直接喉镜更好显露喉部结构,插管时间更短,误差率、咽部不适发生率更低,一次插管成功率更高(P<0.01)。结论在全身麻醉气管插管中视频喉镜可明显提高显露喉部结构程度,提高一次插管成功率,并减少口咽部损伤。Objective This research was aimed at investigating and comparing value of two types of video laryngoscopy in endotra- cheal intubation during general anesthesia. Methods Ninety patients with Mallampati class Ⅰ-Ⅲ were enrolled and randomly assigned to 3 groups depending on Mallampatis class ： M group （ Macintosh laryngoscopy, n = 30 ）, A group （ Airtraq Video Laryngoscopy, n=30 ）, and H group （ UE - HC Video Laryngoscopy, n = 30）. During intubation, the following data were collected ： intubation time, success rate of first in- tubation, morbidity of wrong intubation and pharyngeal discomfort, as well as Cormack. Lehane grades of each group. Results With video laryngoscopy, better visualization of laryngeal anatomy, shorter intubation time , lower morbidity of wrong intubation and pharyngeal discomfort , as well as higher success rate of first intubation were achieved, comparing with direct laryngoscopy （ P 〈 0.01 ）. Conclusion During gener- al anesthesia endotracheal intubation with video laryngoscopy can significantly improve quality of laryngeal visualization , elevate success rates of first intubafion, and reduce injuries to the oral cavity and pharynx.

关 键 词：Airtraq视频喉镜 UE-HC可视喉镜 MACINTOSH直接喉镜 喉部结构 显露 

分 类 号：R614[医药卫生—麻醉学]