HC可视喉镜联合纤维光导支气管镜引导用于老年患者全身麻醉气管插管的临床研究  

Clinical value of HC video laryngoscopes combined fiberoptic bronchoscope on elder patients with general anesthesia intubation

作　　者：何伟[1] 李建桥[1] 原庆会[2] 谢东武[1] 魏福生[1] 戴贵茂[1] 陈平[1] 曾春红[1] 文竹[1] 聂果[1] 

机构地区：[1]绵阳市中心医院麻醉科,四川绵阳621000 [2]绵阳市中心医院病理科,四川绵阳621000

出　　处：《中国医学装备》2016年第8期63-66,共4页China Medical Equipment

摘　　要：目的:分析HC可视喉镜联合纤维光导支气管镜引导用于老年患者全身麻醉气管插管的临床价值。方法:选择118例接受全身麻醉的老年患者,根据插管方式的不同将其分为观察组与对照组。观察组55例,采用HC可视喉镜联合纤维光导支气管镜引导;对照组63例,采用HC可视喉镜,比较两组患者的插管相关指标、血流动力学相关指标及插管并发症发生情况。结果:观察组患者的声门暴露时间、插管总时间少于对照组,插管次数少于对照组患者,两组比较有差异(t=6.294,t=9.724,t=5.284;P<0.05);插管即刻观察组患者的心率(HR)、收缩压(SBP)及舒张压(DBP)水平均低于对照组患者,两组比较有差异(t=5.992,t=5.582,t=7.102;P<0.05);插管成功后1 min,观察组患者的HR、SBP及DBP水平均低于对照组患者,两组比较有差异(t=7.145,t=6.229,t=6.684;P<0.05)。观察组患者插管出血、牙齿脱落、咽部不适及声音嘶哑等插管并发症发生率低于对照组患者,两组比较有差异(x^2=8.284,x^2=5.938,x^2=11.284,x^2=9.624;P<0.05)。结论:HC可视喉镜联合纤维光导支气管镜引导可以提示老年全麻患者的插管成功率并减少插管损伤,同时可以有效降低插管刺激对老年患者血流动力学的影响。Objective： To analyze clinical value of HC video laryngoscopes combined fiberoptic bronchoscope on elder patients with general anesthesia intubation. Methods： 118 elder patients who were received general anesthesia from September 2013 to September 2014 in our hospital were selected as research subjects. According to different way of intubation, all patients were divided into observation group（HC video laryngoscopes combined fiberoptic bronchoscope） with 55 cases, control group（HC video laryngoscopes） with 63 cases, to compare the differences between two groups patients with intubated related indicators, hemodynamic related indicators and intubation complications. Results： The glottis exposure time and total intubation time in the observation group were shorter than that in the control group, and the number of intubation and intubation failure were less than the control group（t=6.294, t=9.724, t=5.284; P〈0.05）. The heart rate（HR） after intubation, SBP and DBP levels in the observation group were less than that in the control group（t=5.992, t=5.582, t=7.102; P〈0.05）. The rate of intubation complication of intubated bleeding, teeth loss, throat discomfort and hoarseness in the observation group were lower than that of the control group patients（x2=8.284, x2=5.938, x2=11.284, x2=9.624; P〈0.05）. Conclusion： HC video laryngoscopes combined fiberoptic bronchoscope may prompt success rates of anesthesia intubation in the elderly patients, decrease intubation injury, and can effectively reduce significant impact on blood flow dynamics of intubation stimulus.

关 键 词：全身麻醉 气管插管 HC可视喉镜 纤维光导支气管镜 

分 类 号：R614.2[医药卫生—麻醉学]