视可尼与HC视频喉镜在经鼻气管插管中的应用对比  

Comparison of Shikani with HC laryngoscope in nasal intubation

作　　者：张翔[1] 刘瑞昌[1] 

机构地区：[1]北京大学口腔医院麻醉科,100081

出　　处：《实用口腔医学杂志》2016年第4期557-560,共4页Journal of Practical Stomatology

摘　　要：目的：经鼻气管插管中,对照使用视可尼与HC视频喉镜,利用解剖学分析视可尼喉镜的临床优缺点。方法：拟在经鼻气管插管全麻下择期行钛板钛钉取出术的正颌术后患者60例,ASAⅠ~Ⅱ级,年龄19~29岁,随机分为视可尼喉镜组（S组,n=30）和HC视频喉镜组（V组,n=30）,对比2组一次成功率、插管总耗时、鼻腔出血率和术后气道并发症发生率。结果：2组的一次插管成功率、鼻腔出血率和并发症发生率无统计学差别,S组插管总耗时低于V组（P〈0.05）。结论：视可尼喉镜经鼻插管快捷、创伤小、维护方便,可广泛推广。Objective： To analyse pros and cons of Shikani laryngoscope anatomically during nasal intubation. Methods： 60 patients,with ASAⅠ- Ⅱ,aged 19 to 29 years old,undergoing titanium plate and titanium screw removal surgery after orthognathia,were randomly divided into Shikani group（ S group,n = 30） and HC video laryngoscope group（ V group,n = 30）. Successful intubation rate of the first attempt,total time cost,nasal bleeding rate and the incidence of postoperative airway complications were compared.Results： Compared with group V,the time cost of group S was significantly lower（ P〈0. 05）. But the rate of successful intubation for the first attempt,nasal bleeding rate and incidence of complications were the same in both groups（ P〈0. 05）. Conclusion： Shikani laryngoscope is faster,less invasive with easy maintenance in nasal intubation.

关 键 词：视可尼 HC视频喉镜 经鼻插管 

分 类 号：R614[医药卫生—麻醉学]