国产小儿型明视插管软镜和听诊法用于双腔支气管导管定位的对比研究  

Comparison of domestic infantile type video intubationscope and stethoscope in positioning of double-lumen endobronchial tube

作　　者：卢增停 蔡永红 王立勋 涂泽华 胡浩翔 叶茜琳 张康聪 Zeng-ting Lu;Yong-hong Cai;Li-xun Wang;Ze-hua Tu;Hao-xiang Hu;Qian-lin Ye;Kang-cong Zhang(Department of Anesthesiology, Xiaolan Hospital affiliated to Southern Medical University,Zhongshan, Guangdong 528415, China)

机构地区：[1]南方医科大学附属小榄医院麻醉科,广东中山528415

出　　处：《中国内镜杂志》2017年第10期6-10,共5页China Journal of Endoscopy

基　　金：广东省中山市医学科研项目(No:2017A020262)

摘　　要：目的比较国产小儿型明视插管软镜(VIS)和听诊法用于双腔支气管导管(DLT)定位的效果。方法择期胸科手术需要单肺通气的患者100例,随机分为国产小儿型明视插管软镜组(V组)和听诊法组(S组),每组50例。行双腔支气管插管后,分别以VIS检查法和听诊法判断和调整DLT的位置,再以纤维支气管镜(FOB)复核,记录两组DLT定位时间及正确率。结果 V组患者DLT定位时间明显短于S组(P<0.05),总定位准确率明显高于S组(P<0.05)。结论国产小儿型VIS用于DLT定位方便快速,定位准确率高,值得临床推广应用。Objective To compare the effect of the domestic infantile type video intubationscope(VIS)and stethoscope in positioning of double-lumen endobronchial tube(DLT).Methods100cases of patients underwent elective thoracic surgery requiring single lung ventilation were randomly divided into two groups:domestic infantile type video intubationscope group(group V)and stethoscope group(group S),with50cases in each.After intubating with a DLT,the positions of DLT were judged and adjusted by VIS(group V)and stethoscope(group S)respectively,and then reviewed by fiberoptic bronchoscopy(FOB),the positioning time and accuracy were recorded.Results Comparing with the group S,the positioning time of DLT was significantly shorter and the total positioning accuracy of DLT was significantly higher in group V(P<0.05).Conclusion It is easy and quickly,high accuracy with domestic infantile type video intubationscope in positioning of DLT,which is worthy of clinical popularization and application.

关 键 词：小儿型明视插管软镜 听诊器 定位 双腔支气管导管 

分 类 号：R614[医药卫生—麻醉学]