HC可视喉镜在新生儿唇裂手术的应用  

The clinical application of HC video laryngoscope intubation in the neonate with a cleft lip

作　　者：王俊林[1] 黄洪强[1] 施晓华[1] 费建[1] 

机构地区：[1]南京医科大学附属南京儿童医院麻醉科,210008

出　　处：《临床麻醉学杂志》2014年第8期785-787,共3页Journal of Clinical Anesthesiology

摘　　要：目的 探讨HC可视喉镜在新生儿唇裂手术气管插管时的临床效果和安全性.方法 择期行全麻下唇裂修补手术患儿52例,男32例,女20例,出生1～28 d,体重2.6～4.8 kg,ASAⅠ或Ⅱ级,随机均分为普通喉镜组（A组）和HC可视喉镜组（B组）.静注咪达唑仑0.1 mg/kg、芬太尼2～4 μg/kg、罗库溴铵快速麻醉诱导,吸入1％～3％七氟醚维持麻醉.术中连续监测BP、HR、SpO2和PETCO2.记录患儿声门暴露情况、一次插管成功率和插管时间,以及并发症情况.结果 与A组比较,B组声门暴露率、一次插管成功率差异无统计学意义,但气管插管时间明显缩短（P＜0.05）.插管时及拔管后两组均未见明显并发症.结论 HC可视喉镜可以安全地应用于新生儿唇裂手术的气管插管,缩短气管插管时间.Objective To explore the effect and safety of HC video laryngoscope intubation applications in the neonate with a cleft lip.Methods Fifty-two neonate aged 1-28 days,ASA Ⅰ or Ⅱ,weight 2.6-4.8 kg,32 male,20 female,scheduled for elective neonatal lip cleft repair surgery under general anesthesia were randomly divided into two groups （n=26 each）：laryngoscope group （group A） and video laryngoscope group （group B）.Neonates were induced intravenously with midazolam 0.1 mg/kg,fentanyl 2-4 μg/kg and rocuromium 0.5 mg/kg,and maintained with 1％-3 ％ sevoflurane inhalation.BP,HR,SpO2 and PETCO2 were continuously monitored in the operation.The view of glottic exposure,the one-time success rate of intubation and the time of intubation for one-time success were recorded.The intubation complications were recorded as well.Results There were no significant statistic difference in the view of glottic exposure and the one-time success rate of intubation between the two groups.The intubation time in gourp B was shorter than group A （P＜0.05）.There were no significant complications at intubation and after extubation in two groups.Conclusion It is safe and feasible to use HC video laryngoscope intubation in the neonate with a cleft lip,shortening the time of tracheal intubation.

关 键 词：HC可视喉镜 气管插管 新生儿 唇裂 

分 类 号：R726.1[医药卫生—儿科]