视频喉镜用于纤维支气管镜下双腔支气管导管插管术的辅助效果  

Efficacy of endobronchial intubation with double-lumen tube using fiberoptic bronchoscope assisted by video laryngoscope

作　　者：张志捷[1] 王珊珊[2] 祁宾[1] 李法印[1] 苏珍[1] 安礼俊[1] 

机构地区：[1]南京医科大学附属淮安第一医院麻醉科,淮安市223300 [2]江苏省淮安市淮阴医院麻醉科,淮安市223302

出　　处：《中华麻醉学杂志》2016年第6期740-743,共4页Chinese Journal of Anesthesiology

摘　　要：目的评价视频喉镜用于纤维支气管镜下双腔支气管导管插管术的辅助效果。方法直接喉镜下双腔支气管导管插管失败患者30例，性别不限，年龄25～64岁，体重指数23～34kg／m^2。采用随机数字表法分为2组（n=15）：纤维支气管镜组（F组）和视频喉镜辅助纤维支气管镜组（VF组）。F组患者在纤维支气管镜引导下行双腔支气管导管插管，VF组采用视频喉镜辅助下纤维支气管镜引导的方法进行双腔支气管导管插管。记录气管插管成功情况、气管插管时间、VF组视频喉镜对声门及会厌的显露情况，术后随访2组气管插管并发症（咽喉疼痛、声嘶、吞咽困难）的发生情况。结果与F组比较，VF组气管插管时间缩短，1次插管成功率和2次插管成功率升高（P〈0．05），气管插管并发症发生率差异无统计学意义（P〉0．05）。结论视频喉镜用于纤维支气管镜下双腔支气管导管插管术的辅助效果较好。Objective To evaluate the efficacy of endobronchial intubation with double-lumen tube using fiberoptic bronehoseope assisted by video laryngoscope. Methods Thirty patients of both sexes, who underwent failed endobronehial intubation with double-lumen tube using direct laryngoscope, aged 25-64 yr, with body mass index of 23-34 kg/m2 , were randomly divided into 2 groups （n= 15 each） using a random number table： fiberoptie bronehoseope group （group F） and fiberoptic bronchoscope assisted by video laryngoscope group （group VF）. The patients were intubated with double-lumen tube under the guide of fiberoptic bronehoseope in group F. The patients were intubated with double-lumen tube under the guide of fiberoptic bronchoscope assisted by video laryngoscope in group VF. The rate of successful intubation, intu- bation time, and glottis and epiglottis exposure condition when the video laryngoscope was used in group VF were recorded. The patients were followed up postoperatively, and the development of intubation-related complications （sore throat, hoarseness and swallowing difficulty） was also recorded. Results Compared with group F, the intubation time was significantly shortened, and the success rate of intubation at first at- tempt and second success rate of intubation were significantly increased in group VF （P〈0. 05）. There was no statistically significant difference in the incidence of intubation-related complications between the two groups （P〉0.05）. Conclusion Video laryngoscope provides better efficacy for endobronchial intubation with double-lumen tube using fiberoptic bronchoscope.

关 键 词：喉镜 支气管镜 插管法 气管内 

分 类 号：R614[医药卫生—麻醉学]