视频喉镜与普通喉镜在新生儿复苏气管插管中的应用比较  

Comparison of video laryngoscopy versus conventional laryngoscopy for tracheal intubation in neonatal resuscitation

作　　者：罗芳[1,2] 陈黎丽 张丽亚[1] 崔英波[1] Luo Fang;Chen Lili;Zhang Liya;Cui Yingbo(Department of Neonatology,Ningbo Women and Children's Hospital,Ningbo 315000,China;Department of Neonatology,Ningbo First Hospital,Ningbo 315010,China)

机构地区：[1]宁波市妇女儿童医院新生儿科,宁波315000 [2]浙江省宁波市第一医院新生儿科,宁波315010

出　　处：《中华新生儿科杂志（中英文）》2022年第3期242-244,共3页Chinese Journal of Neonatology

基　　金：浙江省医药卫生项目(2021KY324)。

摘　　要：目的比较视频喉镜与普通喉镜在新生儿复苏气管插管中的应用价值。方法选择自2018年7月起在宁波市妇女儿童医院出生的早产、出生窒息需气管插管的新生儿100例,随机分为视频喉镜组和普通喉镜组各50例。比较两组插管所需时间、首次插管成功率及插管并发症。结果视频喉镜组插管时间、首次插管成功率均优于普通喉镜组[(21.7±2.7)s比(23.7±1.8)s,98.0%(49/50)比86.0%(43/50)],差异有统计学意义(P<0.05);视频喉镜组并发症发生率低于普通喉镜组[2.0%(1/50)比10.0%(5/50)],但差异无统计学意义(P>0.05)。结论视频喉镜气管插管时间短,首次插管成功率高,并发症少,可安全的应用于新生儿复苏气管插管中。Objective To compare the clinical value of video laryngoscopy and conventional laryngoscopy for tracheal intubation in neonatal resuscitation.Methods From July 2018,100 cases of premature or asphyxia infants born in our hospital requiring tracheal intubation were enrolled.The infants were randomly assigned into video laryngoscopy group and conventional laryngoscopy group with 50 cases in each group.The time needed for intubation,the first time success rate and complications associated with intubation were compared between the two groups.Results The time needed for intubation(21.7±2.7)s vs.(23.7±1.8)s and the first time success rate[98.0%(49/50)vs.86.0%(43/50)]were significantly better in the video laryngoscopy group than the conventional laryngoscopy group(P<0.05).The incidence of intubation complications showed no significant difference between the two groups(P>0.05).Conclusions Using video laryngoscopy,the time needed for tracheal intubation is shorter and the first time success rate is higher,without more complications.Video laryngoscopy can be safely used in tracheal intubation of neonatal resuscitation.

关 键 词：气管插管 视频喉镜 婴儿 新生 复苏 

分 类 号：R722.1[医药卫生—儿科]