比较光棒、Shikani喉镜及Macintosh喉镜引导气管插管在临床中的应用  

A comparison of tracheal intubation guided by Lightwand,Shikani optical stylet or Macintosh

作　　者：何妹仪 蔡建历 贾振华 王美容 王琼 柳垂亮 HE Meiyi , CAI Jianli, JIA Zhenhua, WANG Meirong, WANG Qiong, LIU Chuiliang.(Department of Anesthesiology, Chancheng Central Hospital, Guangdong Medical Uaiversity, Foshan 528031, Chin)

机构地区：[1]广东医科大学附属佛山禅城区中心医院麻醉科,广东佛山528031

出　　处：《实用医学杂志》2018年第12期2023-2026,共4页The Journal of Practical Medicine

基　　金：佛山市医学科学技术研究计划课题(编号:201308141)

摘　　要：目的比较光棒、Shikani喉镜及Macintosh喉镜引导气管插管在临床的应用效果。方法选择90例ASAⅠ-Ⅱ级全麻择期手术患者,随机均分为Macintosh喉镜组(M组)、光棒组(L组)和Shikani喉镜组(S组),每组30例。观测入室后(T1)、诱导后插管前(T2)、插管后即刻(T3)、插管后3 min(T4)、5 min(T5)的平均动脉压(MAP)和心率(HR)的情况,记录完成插管时间、插管次数、1次插管成功率、咽喉疼痛及相关并发症发生情况。结果与T1比较,三组T2时MAP和HR明显降低(P<0.05);与T2比较,T3时L组HR升高,S组MAP和HR升高(P<0.05);与M组比较,L组和S组T4和T5时MAP和HR降低(P<0.05)。L组1次气管插管完成时间明显短于S组及M组(P<0.05),咽喉疼痛发生率S组低于L组和M组(P<0.05),三组的首插管成功率、插管次数等差异无统计学意义(P>0.05)。结论在一般患者气管插管中,光棒和Shikani喉镜在插管时对血流动力学影响较Macintosh喉镜小,光棒插管完成时间最短,而Shikani喉镜咽喉疼痛发生率最低。Objective To compare of the application of tracheal intubation guided by Lightwand,Shikanioptical stylet,or Macintosh. Methods Ninety ASA Ⅰ-Ⅱ patients undergoing elective general anesthesia wererandomly divided into three groups（n = 30）：Macintosh group（group M）,Lightwand group（group L）and Shi-kani optical stylet group（group S）. MAP and HR were recorded at the time of entering the operating room（T1）,before intubation（T2）,at the immediate time of intubation（T3）,3 mins（T4）and 5 mins after intubation（T5）. Theintubation duration,the first intubation success rate,the number of intubation,and the incidence of complicationsincluding sore throat were observed. Results As compared with T1,MAP and HR decreased significantly at T2 inthe three groups（P〈0.05）. As compared with T2,HR increased in group L and MAP and HR increased in groupS at T3（P〈0.05）. As compared with group M,MAP and HR at T4 and T5 were lower in groups L and S（P〈0.05）.The first intubation time was obviously shorter in group L than in other groups（P〈0.05）. The incidence of compli-cations was lower in group S（P〈0.05）. The first success rate of intubation,the intubation times and the inci-dence of airway complications did not differ significantly among the three groups.（P〉0.05）. Conclusions Ascompared with Macintosh,Lightwand and Shikani optical stylet have less influence on hemodynamic parameters.Lightwand needs shorter intubation time,Shikani optical stylet has the lowest rate of sore throat.

关 键 词：光棒 SHIKANI喉镜 血流动力学 气管插管 

分 类 号：R614[医药卫生—麻醉学]