可视喉镜联合高支撑力可调节气管导芯对急诊插管成功率的影响  

作　　者：姚鉴 兰频[2] 杨振伟 杨颖[3] 刘宏 

机构地区：[1]浙江省缙云县人民医院,321400 [2]浙江省丽水市中心医院,323000 [3]浙江省缙云县疾病预防控制中心,321400

出　　处：《浙江临床医学》2020年第7期994-995,共2页Zhejiang Clinical Medical Journal

基　　金：浙江省丽水市缙云县科技局项目(201836)。

摘　　要：目的探讨可视喉镜与高支撑力可调节气管插管导芯联合使用对提高急诊气管插管成功率和安全性的影响.方法选取急诊气管插管患者80例.随机分为2组,各40例.观察组用可视喉镜和高支撑力可调节导芯插管;对照组用可视喉镜和普通导芯插管.比较两组患者一次性插管成功率、插管时间等.记录两组患者在插管前(T0)、插管即刻(T1)、插管后2min(T2)时间点的心率(HR)、平均动脉压(MAP)、脉搏血氧饱和度(SpO2)及不良反应发生情况.结果观察组患者插管时间较对照组明显缩短(P<0.05).一次性插管成功率A组明显高于B组,组间比较,差异有统计学意义(P<0.05).A组在插管术后即刻与术后2min的HR、MAP均明显低于B组,而SpO2均明显高于B组(P<0.05).结论可视喉镜与高支撑力可调节气管插管导芯联合使用可进一步提高急诊气管插管成功率及安全性,优于可视喉镜与普通导芯联用.Objective To discuss the clinical effect of the combined use of visual laryngoscope and adjustable tracheal intubation core.Methods 80 patients admitted to the emergency department were selected and divided them into two groups:the research group(group A:40 cases)adopted the adjustable tracheal intubation core while the control group(group B:40 cases)adopted the general guide core.The intubation tube success rat and intubation rime were compared.What*s more,the changes of haemodynamics and non-invasive saturation of pulse-blood oxygen at different points were also compared between two groups.Results The intubation time of group A was significandy shorter than that of group B(P<0.05).The success rate intubation in group A was significantly higher than that in group B(P<0.05).The heart rate and mean arterial pressure of group A were significantly lower than those of group B(P<0.05).The non-invasive saturation of pulse-blood oxygen in group A were higher than group B(P<0.05).Conclusion The combined use of visual laryngoscope and adjustable tracheal intubation core can improve the success rate and security.

关 键 词：可视喉镜 高支撑力可调节气管导芯 困难气道 气管插管 

分 类 号：R61[医药卫生—外科学]