帝视内窥镜与GlideScope视频喉镜在肥胖患者气管插管操作中的比较  

Comparison of using Disposcope Endoscope and Glide Scope Video in Fat Patients Who Accepted Tracheal Intubation

作　　者：朱雅斌[1] 宋后恩 李小静[1] 孙灿林[1] 

机构地区：[1]泰州市人民医院,江苏泰州225300

出　　处：《泰州职业技术学院学报》2016年第6期40-42,45,共4页Journal of Taizhou Polytechnic College

摘　　要：目的比较帝视内窥镜和Glide Scope视频喉镜在肥胖患者气管插管操作中的优缺点。方法选择全身麻醉下手术的肥胖男性患者60例,Mallampati气道分级Ⅰ~Ⅱ级,年龄18岁~60岁,体重80kg^120kg,分为2组:帝视内窥镜组(D组,n=30)和Glide Scope视频喉镜组(G组,n=30)。2组均采用快速诱导全身麻醉,D组患者用帝视内窥镜经口插入气管导管,G组患者用Glide Scope视频喉镜经口插入气管导管,2组患者均使用7.5#气管导管。记录2组患者插管时间、首次插管成功率、术后8h咽痛情况和麻醉诱导前、插管前、插管后1min、5min的MAP和HR。结果 2组患者在年龄、体重、身高方面差异无统计学意义(P>0.05)。D组插管时间少于G组,差异有统计学意义(P<0.05)。首次插管成功率D组高于G组,差异有统计学意义(P<0.05)。咽痛发生率D组少于G组,差异有统计学意义(P<0.05)。2组患者MAP和HR在麻醉诱导前、插管前和插管后5min差异无统计学意义(P>0.05),在插管后1min,D组MAP和HR低于G组,差异有统计学意义(P<0.05)。结论帝视内窥镜是一种简便易行、一次插管成功率高、组织损伤小、血流动力学稳定的插管工具。Objective To compare the advantages and disadvantages of Disposcope endoscope and GlideScope vid- eo laryngoscope in fat patients with tracheal intubation. Methods 60 male fat patients accepted general anesthe- sia, Mallampati airway class Ⅰ-Ⅱ ,aged 18-60 years old, weighing 80-120kg, were randomly divided into 2 groups： Disposcope endoscope group （group D, n=30） and GlideScope video laryngoscope group （group G, n= 30）.2 groups were treated with rapid induction and general anesthesiology, patients in group D were inserted tra- cheal catheter with Disposcope endoscope through the mouth, the patients of group G were inserted tracheal catheter with GlideScope video laryngoscope through the mouth, the patients of 2 groups all used with 7.5# tra- cheal catheter. 2 groups were recorded with tracheal intubation time, the success rate of intubation for the first time, The incidence of sore throat after operation, the MAP and H1K at 3 points：before intubation, after tion at lmin and 5min. Results There were no statistical differences of 2 groups in age, weight and height （P 〉 0.05） .The intubation time of group D was less than group G （P 〈 0.05）. Successful rate ofintubation in group D was higher than group G, （P 〈 0.05）. Incidence of sore throat in group D was less than group G （P 〈 0.05）. There were no statistical differences of the MAP and HR in 2 group at 3 points：Before in- duction of anesthesia, before intubation and 5min after intubation （P 〉 0.05）. At 1 rain after intubation, the MAP and HR of group D were less than group G （P 〈 0.05）. Conclusion Disposcope endoscopy is a good intu- bation instrument with many advantages such as： simple, high success rate of intubation, small tissue injury, and hemodynamic stability.

关 键 词：气管插管 全身麻醉 内窥镜 喉镜 

分 类 号：R768.1[医药卫生—耳鼻咽喉科]