GlideScope可视喉镜与普通喉镜用于腭裂患儿困难气道的比较研究  

Comparative Study of GlideScope Video and Normal Laryngoscope to Manage Complex Airway for Children with Cleft Palate

作　　者：尹芳[1] 彭伟[1] 刘可斌[1] 张铁军[1] 

机构地区：[1]武汉大学口腔医院麻醉科,湖北武汉430079

出　　处：《口腔医学研究》2015年第8期811-813,共3页Journal of Oral Science Research

摘　　要：目的：比较GlideScope可视喉镜与普通喉镜用于腭裂困难气道患儿气管插管的效果。方法：选择行择期腭裂修复术患儿60例,ASA分级Ⅰ~Ⅱ级,性别不限,年龄8个月~3岁,体重5~15kg,Mallampati分级Ⅲ级及以上,随机分为两组,普通喉镜组（A组）和GlideScope可视喉镜组（B组）。麻醉诱导后分别用普通喉镜和GlideScope可视喉镜引导经口气管插管。记录两组患者气管插管时间（从喉镜置入到退出时间）、气管插管成功率、环状软骨按压例数、Cormark-Lehane分级（用于计算声门暴露满意率）;有无插管操作相关的口咽软组织损伤。结果：与A组比较,B组声门暴露满意率明显提高,需要甲状软骨按压辅助气管插管例数显著减少,气管插管成功率显著提高（P〈0.05）。两组患者气管插管时间和气管插管损伤差异无统计学意义。结论：GlideScope可视喉镜用于困难气道气管插管的效果要优于普通喉镜。Objective： To compare GlideScope video-laryngscopy and normal laryngoscope to manage complex air- way for children with cleft palate. Methods.. 60 children undergoing palatoplasty were inclueded in this study. Inclu- sive criteria was.. either sex; age 8-36 months; weight 5-15kg; ASA grade Ⅰ or Ⅱ ; Mallampati grade Ⅲ and a- bove. Patients were randomly divided into two groups： normal laryngoscope （group A） and GlideScope （group B）. After induction of anesthesia, orotracheal intubation was performed assisted by normal laryngoscope in group A, and by GlideScope in group B. Data collected included Glottis exposure time, intubation time, whether intubation succeeded and cricoid pressing was needed, Cormark-Lehane grade and intubation-ralated injure. Results.. The rates of satisfactory glottis exposure and successful endotracheal intubation were significantly higher, the case num- ber of cricoid pressing in group B was less than that in group A （P〈O. 05）. There was no significant difference in the incidence of intubation-related injure and the intubation time between two groups. Conclusion： GlideScope vide- olaryngoscopy was superior to normal laryngoscope for managing difficult airway.

关 键 词：GlideScope可视喉镜 气管插管 腭裂 困难气道 

分 类 号：R726.1[医药卫生—儿科]