HC可视喉镜在儿童会厌囊肿手术麻醉中的应用  

HC visual laryngoscope in the application of anesthesia of the neonatal epiglottis cyst surgery

作　　者：王江平[1] 陈政[1] 肖婷[1] 吴畏[1] 刘晶晶[1] 张溪英[1] 

机构地区：[1]湖南省儿童医院麻醉手术科

出　　处：《临床小儿外科杂志》2015年第1期59-61,共3页Journal of Clinical Pediatric Surgery

摘　　要：目的 评价HC可视喉镜在儿童会厌囊肿手术气管插管中的临床价值与安全性。方法 选取60例行会厌囊肿手术的儿童，ASAⅡ～Ⅲ级，采用随机数字表分为两组。HC可视喉镜组（S组）和直接喉镜组（D组），每组30例，由同一名麻醉医师完成插管。记录两组气管插管时间、插管成功率和一次成功率，插管前、插管时和插管后2min的心率（HR）、收缩压（SBP）、舒张压（DBP）和平均动脉压（MAP）；喉镜下Cormark—Lehane评级。术毕检查口腔内有无损伤、出血或水肿。结果 与D组相比，S组Cormark-Lehane分级中Ⅰ和Ⅱ级的例数显著增多（P〈0．05），插管时间明显缩短（P〈0．05）。两组插管前和插管后2mm，患儿HR和MAP差异无统计学意义（P〉0．05）；插管时D组的HR和MAP明显高于S组（P〈0．05）。结论 在儿童会厌囊肿手术中，HC可视喉镜插管成功率高，插管反应轻，插管时间缩短，安全性好。Objetive To evaluate the clinical value and safety of HC visual laryngoscope in neonatal epiglottis cyst surgery. Methods Select 60 newborns epiglottis cyst surgery, ASA Ⅱ -level Ⅲ, random divided into two groups. HC visual laryngoscope group （ group, S） and direct laryngoscope group （ group D）, 30 cases in each group, by the same anesthetist finished intubation. Recording the time of two groups of endotracheal intubation,the success rate of all endortracheal intubation and the success rate of the first intubation; record of HR, DBP, SBP and MAP in the time of before intubation （ T1 ）, 2 min after intubation （ T3 ） and intubation （ T2 ） ; and the rate of Laryngoscope under Cormark-Lehane. Results Compared with group D, group S Cormark-Lehane class I and II were significantly increased （P 〈 0.05）, the intubation time significantly shortened （ P 〈 0.05 ）. T1 and T3 , the two group HR and MAP differences had no statistical significance （ P 〉 0.05） ; HR and MAP in D group were obviously higher than that of s group in T2 （ P 〈 0.05）. Conclusion In the newborn epiglottis cyst surgery, HC visual laryngoscope intubation is safe and success rate is highly, the intubation reaction is light, the intubation time is shortened.

关 键 词：喉镜 会厌 囊肿 麻醉 儿童 

分 类 号：R726.1[医药卫生—儿科]