光棒引导气管插管在急诊抢救中的应用  

The Application of Lightwand Guided Tracheal Intubation in Emergency Rescue

作　　者：彭旭桦[1] PENG Xuhua(Department of Anesthesia,the First Affiliated Hospital of Fujian Medical University,Nanping City,Fujian Province 35300)

机构地区：[1]福建医科大学附属南平市第一医院麻醉科,福建省南平市353000

出　　处：《医学理论与实践》2018年第13期4-6,共3页The Journal of Medical Theory and Practice

摘　　要：目的:比较在急诊抢救中光棒引导法与直接喉镜法进行气管插管的应用效果。方法:将2014—2017在我院进行气管插管的急危重症52例患者随机分成两组,每组26例,分别采用光棒引导法(A组)与直接喉镜法(B组)进行气管插管,比较两组患者插管前后平均动脉压和心率的变化、插管时间、首次插管成功率、咽喉部并发症发生情况。结果:A组插管前后MAP和HR无明显变化,B组MAP和HR在插管后较插管前明显升高(P<0.05)。A组插管时间(32.32±9.97)s,明显短于B组的(49.25±9.03)s(P<0.05)。A组首次插管成功率(92%)较B组(62%)高(P<0.05)。A组插管并发症发生率明显低于B组(P<0.05)。结论:与直接喉镜气管插管相比,光棒引导法具有血流动力学影响较轻、操作简便、快速、首次插管成功率高、咽喉部并发症少的优势。特别适用急危重症患者,适合在各级医院的临床抢救中推行。Objective： To compare the experience of tracheal intubation with direct laryngoscope in emergency rescue.Methods： A total of 52 patients with acute critical condition of tracheal intubation in our hospital from 2014 to 2017 were randomly divided into two groups,each with 26 cases. The endotracheal intubation was performed using the lightwand guide（ group A） and direct laryngoscopy（ group B）. The changes of mean arterial pressure and heart rate before and after intubation,the time of intubation,the success rate of the first intubation and the occurrence of complications in the pharynx and larynx were compared between the two groups. Results： In group A,there was no obvious change in MAP and HR before and after intubation,and MAP and HR in group B were significantly higher than before intubation（ P 0. 05）. The time of intubation in group A（ 32. 32 ± 9. 97） s,was shorter than that in group B（ 49. 25 ± 9. 03） s（ P 0. 05）. The success rate of first intubation in group A（ 92%） was higher than that in group B（ 62%）（ P 0. 05）. The complications rate of intubation in group A were significantly lower than that in group B（ P 0. 05）. Conclusion： Compared with direct laryngoscopy and tracheal intubation,Lightwand guided method has less impact on hemodynamics,quick and convenient method for the first time intubation success rate high,less complications advantages of the throat. It is especially suitable for emergency and severe patients,which is suitable for the clinical rescue of hospitals at all levels.

关 键 词：光棒 直接喉镜 气管插管 急诊 

分 类 号：R605.97[医药卫生—急诊医学]