Airtraq喉镜与Lightwand光棒行气管插管的应用  

Application of Airtraq laryngoscope and Lightwand in tracheal intubation

作　　者：蒋鹏[1] 王新荣[2] 马鹏 华佳[1] 阚明秀[1] 

机构地区：[1]江苏大学附属医院麻醉科,212001 [2]新疆生产建设兵团四师医院麻醉科

出　　处：《江苏医药》2014年第7期789-791,共3页Jiangsu Medical Journal

摘　　要：目的探讨Airtraq喉镜与Lightwand光棒在气管插管中的应用效果。方法全麻患者48例,术前改良Mallampati气道评估分级Ⅰ-Ⅱ级,随机均分为Airtraq喉镜组(A组)和Lightwand光棒组(L组),记录两组患者插管前后平均动脉压和心率的变化、一次插管成功率、插管时间及插管后并发症发生情况。结果一次插管成功率A组100%,L组95.8%;L组插管时间短于A组[(23.7±6.1)s vs.(33.0±3.2)s](P<0.05)。插管前后血流动力学变化两组间无统计学差异(P>0.05)。L组术后2例出现吞咽疼痛。结论 Airtraq喉镜和Lightwand光棒插管过程中血流动力学稳定。Airtraq喉镜能提供更好的插管条件。Objective To investigate the clinical application of Airtraq laryngoscope and Lightwand in tracheal intubation. Methods Forty-eight patients （modified Mallampati grade Ⅰ -Ⅱ ） scheduled for surgery under general anaesthesia were equally randomized into group A （tracheal intubation with Airtraq laryngoscope） and L（with Lightwand）. The changes of MAP and HR before and after tracheal intubation were measured. The success rate of intubation at first-attempt, intubation time and intubation-related complications were recorde＆ Results The success rate of intubation at first-attempt was 100% in group A and 95.8% in group L. The intubation time in group L was shorter than that in group A [（23.7±6.1） s vs. （33. 0±3.2） s]（P〈0. 05）. There were no significant differences in hemodynamic changes between two groups during intubation（P〈0. 05）. Two cases in group L occurred painful swallowing after surgery. Conclusion The hemodynamics is stable during tracheal intubation with Airtraq laryngoscope and Lightwand. Airtraq laryngoscope can provide better conditions for intubation.

关 键 词：AIRTRAQ喉镜 Lightwand光棒 气管插管 

分 类 号：R614[医药卫生—麻醉学]