两种喉镜在无肌松麻醉诱导气管插管的优劣比较  

Comparison of Airtraq laryngoscope and Macintosh laryngoscope in tracheal intubation after induction anesthesia without muscle relaxant

作　　者：董龙禹[1] 褚文彦[1] 李江伟[1] 郭玉洁[1] 窦林彬[1] 吴明毅[1] 孙玉明[1] 高鸿敏[2] 

机构地区：[1]武警山东总队医院麻醉科,济南250014 [2]北京军区总医院263临床部呼吸科,100700

出　　处：《武警医学》2014年第4期346-348,共3页Medical Journal of the Chinese People's Armed Police Force

摘　　要：目的 比较Ainraq喉镜与Macintosh喉镜在无肌松麻醉诱导经口气管插管时的优劣及对血流动力学影响.方法 全麻下行头颈部手术患者50例,ASA Ⅰ～Ⅱ级,随机分为2组,每组25例,分别使用Airtraq喉镜（A组）与Macintosh喉镜（M组）,两组均采用丙泊酚2.5 mg/kg,瑞芬太尼1.5μg/kg静注,不使用肌松药,麻醉诱导注药2 min后行气管插管,根据气管插管条件评定标准,评价气管插管满意率,并观察气管插管时血流动力学改变.结果 两组气管插管均一次成功.A组气管插管满意率为96％,M组为75％,两组比较差异有统计学意义（P＜0.05）,气管插管期间以及气管插管后3 min,M组血流动力学改变较大,与A组比较差异有统计学意义（P＜0.05）.结论 无肌松麻醉诱导后,与Macintosh喉镜比较,Airtraq 喉镜声门显露清楚,气管插管满意率高,操作对血流动力学影响较小.Objective To compare the clinical effects and homodynamic responses to tracheal intubation with the Airtraq la- ryngoscope and the Macintosh laryngoscope after general anesthesia induction without muscle relaxant. Methods Fifty patients sched- uled for cervical surgery under general anesthesia, ASA I - II , 20-50 years old, were randomly divided into two groups （ group A and group M ） , 25 patients each group, All patients receired induction anesthesia with propofol 2.5 mg/kg and remifentanil 1.5 μg/kg in- travenous injection. After injection for 2 minutes, the anesthetist performed intubation using the Airtraq laryngoscope （group A） or the Macintosh laryngoscope （group M）. According to tracheal intubation condition assessment criteria, evaluate the satisfaction rate of in- tubation was evaluated, and the homodynamic changes during intubation were observed. Results Patients＇ intubafion in each group was performed successfully by once. In group A, intubation satisfaction rate was 96% , and in group M was 75%. There were signifi- cant changes between group A and group M （ P 〈 0.05 ）. During intubation and 3 rain after intubation, homodynamic changes in group M were remarkably different from those in group A （ P 〈 0.05 ）. Conclusions After general anesthesia induction without muscle re- laxant, compared with Macintosh laryngoscope, the Airtraq laryngoscope achieves better glottis exposure view, and higher intubation satisfaction rate, and lighter homodynamic changes during operations of tracheal intubation.

关 键 词：气管插管 AIRTRAQ喉镜 MACINTOSH喉镜 血流动力学 

分 类 号：R614.2[医药卫生—麻醉学]