视频喉镜用于成人胸科手术双腔支气管插管安全性的Meta分析  

A Meta-Analysis of the Safety of Videolaryngoscope for Double-Lumen Tube Intubation in Adult Patients Undergoing Thoracic Surgery

作　　者：肖杨[1] 陈春[1] 石波[1] 徐冰清[2] Xiao Yang;Chen Chun;Shi Bo;Xu Bingqing(Department of Anesthesiology,Yichang Central People's Hospital,The First College of Clinical Medical Science,China Three Gorges University,Yichang 443003,China;Department of Oncology,Yichang Central People's Hospital,The First College of Clinical Medical Science,China Three Gorges University,Yichang 443003,China)

机构地区：[1]三峡大学第一临床医学院[宜昌市中心人民医院]麻醉科,湖北宜昌443003 [2]三峡大学第一临床医学院[宜昌市中心人民医院]肿瘤科,湖北宜昌443003

出　　处：《巴楚医学》2020年第2期77-87,共11页Bachu Medical Journal

摘　　要：目的:利用Meta分析的方法评价视频喉镜用于成人胸科手术双腔支气管插管的安全性。方法:检索PubMed、Medline、EmBase、the Cochrane Library、Google Scholar等英文数据库以及万方、中国知网、维普等中文数据库,收集2020年2月前关于视频喉镜应用于双腔支气管插管的随机对照试验,按改良Jadad量表评价研究质量,提取相关数据后采用Stata 14.0进行Meta分析。结果:共纳入16篇文献,1073例研究对象(其中视频喉镜组539名,对照组534名)。Meta分析结果显示,将视频喉镜应用于双腔支气管插管可以提高首次插管成功率(RR=1.15,95%CI:1.06~1.24),缩短插管时间(WMD=-9.31,95%CI:-14.97^-3.65),改善声门显露C-L分级Ⅰ-Ⅱ级(RR=1.14,95%CI:1.05~1.24)、Ⅲ-Ⅳ级(RR=0.14,95%CI:0.07~0.30),减少插管损伤(RR=0.49,95%CI:0.37~0.65),降低术后声嘶的发生(RR=0.65,95%CI:0.46~0.92)。结论:视频喉镜用于成人胸科手术双腔支气管插管的安全性好,同时并发症少。Objective:To evaluate the safety of videolaryngoscope for double-lumen tube intubation in adult patients undergoing thoracic surgery.Methods:The randomized controlled trials(RCTs)about videolaryngoscope for double-lumen tube intubation in adult patients undergwent thoracic surgery were searched until February 2020,including the PubMed,Medline,EmBase,Cochrane Library,Google Scholar,Wanfang,CNKI and VIP database.The modified Jadad scale was used to assess the quality of included studies,then relevant data were extracted and analyzed by Stata 14.0 software.Results:A total of 16 eligible studies involved 1073 patients with 539 cases in the videolaryngoscope group and 534 cases in the control group were screened for further meta-analysis.The results showed that videolaryngoscope could increase the first intubation success rate(RR=1.15,95%CI:1.06~1.24),shorten intubation time(WMD=-9.31,95%CI:-14.97 to-3.65),improve glottic exposure for C-L scale in gradeⅠ-Ⅱ(RR=1.14,95%CI:1.05~1.24)andⅢ-Ⅳ(RR=0.14,95%CI:0.07~0.30),decrease intubation injury(RR=0.49,95%CI:0.37~0.65),reduce incidence of postoperative hoarseness(RR=0.65,95%CI:0.46~0.92).Conclusion:Videolaryngoscope for double lumen bronchial intubation in adult thoracic surgery is safe and has fewer complications.

关 键 词：视频喉镜 胸科手术 双腔支气管插管 META分析 

分 类 号：R614[医药卫生—麻醉学] R655[医药卫生—外科学]