3种视频喉镜在气管插管时对患者血流动力学及术后气管插管并发症的影响  

The Effects of Endotracheal Intubation with Three Kinds of Video Laryngoscopes(GlideScope, AirTraq and UE) on Hemodynamics and Postoperative Complications of Endotracheal Intubation

作　　者：方育[1] 黄洁[1] 邹志瑶 

机构地区：[1]昆明医科大学第一附属医院麻醉科,云南昆明650032

出　　处：《昆明医科大学学报》2014年第10期135-138,共4页Journal of Kunming Medical University

摘　　要：目的比较3种视频喉镜:GlideScope(GS),AirTraq(AT)与UE视频喉镜在行气管插管时对患者血流动力学及术后气管插管并发症的影响.方法 60例择期手术患者随机分为3组:GS,AT和UE组.监测诱导前、插管前、插管后即刻和插管后1 min、2 min、3 min的血压(BP)和心率(HR),并记录插管时间、插管次数和插管相关并发症.结果插管后,GS、AT和UE组的BP各时间点差异无统计学意义(P>0.05).插管后即刻3组患者BP,HR都上升至插管前水平;GS、UE组插管后心率增快持续时间长于AT组(P<0.05).AT组插管后声嘶、咽痛率显著高于GS和UE组(P<0.05).结论 GlideScope,AirTraq与UE视频喉镜在插管时间和对患者血流动力学的影响没有明显差异,但AirTraq视频喉镜术后并发症的发生率高于其他2种视频喉镜.Objective To compare the effects of three video laryngoscopes： GlideScope （GS） , AirTraq （AT） and UE video laryngoscope on the hemodynamics and postoperative complications of endotracheal intubation. Methods Sixty patients with elective surgery were randomly assigned into three groups： GS group, AT group and UE group. Blood pressure （BP） and heart rate （HR） were recorded before induction, before intubation, immediately after intubation, and the 1 rain, 2 rain, 3 rain after intubation respectively. Time-to-intubation, number of attempts and intubation-related complications were also recorded. Results No significant differences of BP after intubation were observed among three groups at each time point （P〉0.05） . BP and HR of three groups of patients immediately after intubation rose to the levels before the intubation. GS and UE group, increased HR after intubation duration is longer than the AT Group （P〈0.05） . The incidence of postoperative hoarseness or sore throat was significantly higher in AT group than that in GS and UE Group after intubation （P〈0.05） . Conclusions GlideScope, AirTraq and UE video laryngoscopes in endotracheal intubation have no obvious differences in time-to-intubation and hemodynamics of patients. The incidence of postoperative complications is higher in AirTraq video laryngoscope than the other two video laryngoscopes.

关 键 词：GLIDESCOPE AIRTRAQ UE视频喉镜 血流动力学反应 插管并发症 

分 类 号：R614[医药卫生—麻醉学]