Macintosh喉镜不同入路盲探插管对困难气道的应用价值分析  

Application value of blind tracheal intubation through different approaches with Macintosh laryngoscope in difficult airway

作　　者：张泽寅 左超 蒋庆芳 ZHANG Zeyin;ZUO Chao;JIANG Qingfang(Department of Anesthesiology,The Fifth Affiliated Hospital of Zunyi Medical University,Zhuhai 519100,China)

机构地区：[1]遵义医科大学第五附属<珠海>医院麻醉科,广东珠海519100

出　　处：《长春中医药大学学报》2020年第5期1009-1011,共3页Journal of Changchun University of Chinese Medicine

基　　金：广东省医学科研基金项目(20191208A010070)。

摘　　要：目的分析在普通喉镜(Macintosh)经不同入路盲探气管插管的成功率比较,推荐对于困难气道有价值参考。方法选择择期行气管插管全麻患者210例,采用数字随机分组法分为左侧组、正中组和右侧组,每组各70例。左侧组使用普通弯喉镜经左侧口角进入口腔行盲探插管,正中组使用普通弯喉镜经正中门齿进入口腔行盲探插管,右侧组使用普通弯喉镜经右侧口角进入口腔行盲探插管。观察各组插管成功率与并发症。结果正中组盲探插管成功率高于其余2组。结论在困难气道处理中,盲探插管使用普通弯喉镜经正中门齿入路成功率较高,可推荐临床操作与教学中应用。Objective To analyze the success rate of tracheal intubation in different laryngoscopes through different approaches,and recommend a valuable reference for difficult airways.Methods A total of 210 patients with general anesthesia for tracheal intubation were enrolled.They were randomly divided into three groups:L,M,and R.Each group consisted of 70 patients.The L group used curved laryngoscope to enter the oral blind intubation through the left corner of the mouth.The M group used the ordinary curved laryngoscope to enter the oral blind intubation through the median incisors.The R group used the ordinary curved laryngoscope to enter the oral blind in the right corner tube.The success rate and complications of each group were observed.Results The success rate of blind intubation in group M was higher than that in the other two groups.Conclusion In difficult airway management,the blind tube cannula uses a common curved laryngoscope with a high success rate through the median incisor approach,which can be recommended for clinical operation and teaching.

关 键 词：MACINTOSH喉镜 困难气道 不同入路 盲探插管 

分 类 号：R614[医药卫生—麻醉学]