帝视内窥镜与视可尼喉镜在老年高血压患者全身麻醉气管插管中的应用比较  

Application of Disposcope and Shikani Optical Stylet in Tracheal Intubation of General Anesthesia for Elderly Hypertensive Patients

作　　者：陈梅花[1] 徐中萍 沈劼颖 王小明[1] CHEN Mei-hua;XU Zhong-ping;SHEN Jie-ying(Department of Anesthesiology,Suzhou Traditional Chinese Medicine Hospital,Suzhou 215002 China)

机构地区：[1]苏州市中医医院麻醉科,江苏苏州215002

出　　处：《医学临床研究》2018年第9期1712-1714,共3页Journal of Clinical Research

摘　　要：【目的】比较帝视内窥镜与视可尼喉镜在老年高血压患者全身麻醉（简称全麻）气管插管中的应用效果。【方法】拟行气管插管全麻的84例老年高血压患者随机分为A组（帝视内窥镜）与B组（视可尼喉镜），比较两组麻醉前（T0）、麻醉诱导后（T1）、气管插管后即刻（T2）、插管后2min（T3）的心率（HR）、舒张压（DBP）、收缩压（SBP）、血浆皮质醇（COR）、内皮素（ET）水平，比较两组气管插管成功率、插管时间及并发症发生情况。【结果】两组不同时间点HR、DBP、SBP、血浆c0R、ET水平组间比较差异均无显著性（P〉0．05）；A组气管插管1次成功率为90．48％（38／42），失败率为2．38％（1／42），与B组的92．86％（39／42）、0．00％（0／42）相比较差异无显著性（P〉0．05）；两组平均插管时间比较差异无显著性（P〉0．05）；两组患者均无声嘶、咽痛等并发症发生。【结论】老年高血压患者全麻术中使用帝视内窥镜行气管插管效果与视可尼喉镜类似，均能有效维持血流动力学稳定，应激反应小，1次插管成功率高且安全性高。[Objective]To comparatively analyze the application of disposcope and shikani optical stylet in tracheal intubation of general anesthesia for elderly hypertensive patients. [Methods]A total of 84 elderly hypertensive patients who planned to be treated with tracheal intubation general anesthesia were randomly divided into group A （disposcope） and group B （shikani optical stylet）, with 42 cases in each group. Levels of HR, DBP, SBP, plasma cortisol （COR） ancl endothelin （ET） were compared between the two groups before anesthesia （T0）, after induction of anesthesia （T1）, immediately after intubation （T2） and 2min after intubation （T3）. The success rate of tracheal intubation, intubation time and incidence of complications were compared between the two groups. [Results] There were no significant differences in the levels of HR, DBP, SBP, plasma COR and ET between the two groups at different time points （ P 〉0.05）. There were no significant differences in the success rates and failure rates of one-time tracheal intubation between group A and group B [90.48% （38/42） and 2.38% （1/42） vs 92.86% （39/42） and 0.00% （0/42）]（ P〉0.05）. Also, there was no significant difference between the two groups in the average intubation time （P〉0.05）. No complications such as snoring or sore throat happened in both groups. [Conclusion] The effect of disposcope tracheal intubation is similar to that of shikani optical stylet in elderly hypertensive patients under general anesthesia. They both can effectively maintain the stability of hemodynamics with mild stress response, and provide high success rate of one-time intubation and safety.

关 键 词：高血压 喉镜检查/方法 内窥镜检查 老年人 

分 类 号：R544.1[医药卫生—心血管疾病]