Disposcope内镜和Macintosh喉镜用于高血压患者气管插管的临床效果  

The Efficacy of Disposcope Endoscope or Macintosh Laryngoscope in Tracheal Intubation in Patients with Hypertension

作　　者：邓安松 陈宗洁 梅高元 周源 杨帆 聂金凤 DENG An-song;CHEN Zong-jie;MEI Gao-yuan;ZHOU Yuan;YANG Fan;Nie Jin-feng(Department of Anesthesiology,The First People’s Hospital of Two Rivers New Area in Chongqing,Chongqing 401121,China)

机构地区：[1]重庆两江新区第一人民医院麻醉科

出　　处：《中国医药指南》2018年第23期30-31,共2页Guide of China Medicine

摘　　要：目的评价Disposcope内镜和Macintosh喉镜用于高血压患者气管插管临床效果。方法40例择期行气管插管全身麻醉高血压患者,ASAⅠ~Ⅱ级,性别不限,年龄51~69岁,随机数字法分为两组(n=20):Macintosh喉镜组(M组)和Disposcope内镜(D组)。记录基础值(T0)、插管(置入口腔)时(T1)、插管(导管置入气管)后1min(T2)、3min(T3)、5min(T4)各时点HR、SBP,插管时及插管后各时点出现HR>90次/分、HR<60次/分、SBP>140mmHg与BP<90mmHg和术后吞咽痛的情况。结果插管后1min,M组HR、SBP明显高于D组(P<0.05);插管后1~5min期间,M组SBP>140mmHg、HR>90次/分的例数明显多于D组(P<0.05),拔管后D组吞咽痛患者明显少于M组(P<0.05)。结论Discoscope内镜有益于高血压患者气管插管时血流动力学稳定,有效降低术后患者吞咽痛发生率,是一种安全的气管插管方法。Objective To evaluate the efficacy of disposcope escope or Macintosh laryngoscope in tracheal intubation in patients with hypertension.Methods Forty adult patients of both sexes,aged from 51~69 years,ASAⅠ~Ⅱ,scheduled for general anesthesia were randomized into 2 groups(n=20 each):group Macintosh(group M)and group Disposcope(group D).HR and SBP were recorded at baseline(T0),intubation(T1)and 1 min(T2),3 min(T3),5 min(T4)after intubation.The number of HR>90 bpm,HR<60 bpm,SBP>140 mm Hg and SBP<90 mm Hg during the period from T0-T4.Swallow pain was also recorded.Results At 1 min after intubation,HR and SBP was obviously higher in group M than that in group D(P<0.05).During the period from T0-T4,the number of HR>90 bpm and SBP>140 mm Hg were fewer in group D than that in group M(P<0.05).The number of swallow pain was fewer in group D than that in group M(P<0.05).Conclusion Disposcope endoscope was an effective way in tracheal intubation in patients with hypertension,which was benefit for maintaining the stability of hemodynamic and reducing the occurrence of swallow pain.

关 键 词：Disposcope内镜 气管 插管法 

分 类 号：R544.1[医药卫生—心血管疾病] R614[医药卫生—内科学]