HC可视喉镜联合纤维光导支气管镜引导全身麻醉气管插管  

Analysis on Clinical Effect in 116 Patients with Tracheal Intubation under General Anesthesia Guiding by HC Visual Laryngoscope in Combination with Fiberoptic Bronchoscopy

作　　者：张灿华 钱金桥[2] ZHANG Can-hua QIAN Jin-qiao(） Dept. of Anesthesiology, The First People＇s Hospital of Qujing City, Qujing Yunnan 655000 ） Dept. of Anesthesiology, The First Affiliated Hospital of Kunming Medical University, Kunming Yunnan 650032, China)

机构地区：[1]曲靖市第一人民医院麻醉科,云南曲靖655000 [2]昆明医科大学第一附属医院麻醉科,云南昆明650032

出　　处：《昆明医科大学学报》2016年第9期76-79,共4页Journal of Kunming Medical University

基　　金：国家自然科学基金资助项目(81160035)

摘　　要：目的探讨HC可视喉镜联合纤维光导支气管镜引导全身麻醉气管插管的临床应用效果.方法随机抽取自2013年1月至2015年1月在曲靖市第一人民医院进行全身麻醉气管插管的患者共348例作为研究对象,按照气管插管不同的引导方式分为3组,第1组为单纯纤维光导支气管镜引导全身麻醉气管插管设定为F组,第2组为单纯HC可视喉镜引导全身麻醉气管插管设定为H组,第3组为HC可视喉镜联合纤维光导支气管镜引导全身麻醉气管插管设定为H+F组,分别记录3组患者的一般情况和插管情况如插管时间、插管次数等.结果 3组患者的一般情况相似,年龄、BMI指数、甲颏距离、张口度数值相近;插管时间比较中F组所需时间最长,达(41±11)s,插管次数中H组所需次数最多,为30次;声门暴露时间F组时间最长,为(21±9)s,组间及组内差异有统计学意义(P<0.05).结论 HC可视喉镜联合纤维光导支气管镜引导全身麻醉气管插管在临床中得到良好效果,值得在临床大力推广.Objective To investigate the clinical application effects of tracheal intubation under general anesthesia guiding by HC visual laryngoscope in combination with fiberoptic bronchoscopy via clinical studies.Methods A total of 348 patients underwent the tracheal intubation under general anesthesia in the hospital between January 2013 and January 2015 were randomly selected and Divided into three groups according to different ways of guiding tracheal intubation.The first group was a simple fiber light guide bronchoscopy to guide the general anesthesia tracheal intubation was set to F group,In the second group, the general anesthesia tracheal intubation was set to H group for the simple HC video.The third group was HC video mirror combined with fiber light guide bronchoscopy to guide the general anesthesia tracheal intubation was set to H＋F group. The general condition and intubation conditions such as the time and frequencies of intubation in three groups were recorded respectively.Results The general condition,age,BMI index,thyromental distance, interincisor distance value were similar among three groups. The time needed for intubation was the longest in group F up to（41±11） s. The highestfrequency of intubation was in group H with 30 times,and the time of glottis exposure was the longest in group F as（21±9） s. The difference among groups and intra-groups has statistical significance（P〈0.05）. Conclusion HC visual laryngoscope in combination with fiberoptic bronchoscopy guiding tracheal intubation under general anesthesia has a good effect in clinical practice,and is worthy of clinical promotion.

关 键 词：HC可视喉镜 纤维光导支气管镜 全身麻醉 气管插管 

分 类 号：R614.2[医药卫生—麻醉学]