可视喉镜在急诊科行气管插管的应用观察  

Application observation on trachea intubation using visible laryngoscope in emergency department

作　　者：郑宏[1] 张磊[1] 刘汉立[1] 刘世洁[1] 叶宁[1] 富学林[1] ZHENG Hong;ZHANG Lei;LIU Hanli(Emergency Department,The Affiliated Hospital of Guilin Medical University,Guilin 541001,China)

机构地区：[1]桂林医学院附属医院急诊科,广西桂林541001

出　　处：《华夏医学》2018年第6期71-73,共3页Acta Medicinae Sinica

摘　　要：目的:探讨可视喉镜在急诊科对患者行气管插管的临床应用价值。方法:选取需行气管插管进行紧急抢救的患者42例,依据完全随机化原则分为普通喉镜组20例(A组)和可视喉镜组22例(B组),比较两组声门暴露时间、一次插管成功率、插管总成功率和插管总时间的差异。结果:B组一次插管成功率、插管总成功率高于A组,声门暴露时间、插管总时间短于A组,两组比较差异有统计学意义(P<0.05)。结论:可视喉镜用于急诊科气管插管抢救,可提高一次插管成功率、插管总成功率,极大地缩短了声门暴露时间和插管时间,提高了插管效率。Objective:To explore the clinical practice value of trachea intubation using visible laryngoscope in patients of emergency department.Methods:42 cases who were carried out the tube intubation for the urgent rescue were selected.On the basis complete randomisation principle,the 20 cases were divided into the ordinary laryngoscope group(A group) and 22 cases in the visible laryngoscope group(B group).The differences of the glottis detection time,an intubation success ratio,the total success ratio of intubation and total time of inserting a tube between the two groups were compared.Results:The success ratio of an intubation success ratio,the total success ratio of intubation of B group was higher than those of A group,the glottis detection time,total time of inserting a tube of B group were shorter than those of A group with the statistical significant difference between the two groups(P<0.05).Conclusion:The uses of visible laryngoscope in the trachea intubation rescue in emergency department,may enhance the an intubation success ratio,the total success ratio of intubation and reduce the glottis detection time,total time of inserting a tube,so as to improve the intubation efficiency.

关 键 词：可视喉镜 急诊科 气管插管 

分 类 号：R459.7[医药卫生—急诊医学]