可视喉镜用于胎龄32周内早产儿复苏气管插管术的效果  

Efficacy of visual laryngoscope for tracheal intubation for resuscitation in premature infants born within 32 weeks of gestation

作　　者：王举[1] 孙娜 方建超 王涛[1] 吕志排[1] 姜丽华[1] Wang Ju;Sun Na;Fang Jianchao;Wang Tao;Lyu Zhipai;Jiang Lihua(Department of Anesthesiology,Third Affiliated Hospital of Zhengzhou University,Zhengzhou 450002,China)

机构地区：[1]郑州大学第三附属医院麻醉科,郑州450002

出　　处：《中华麻醉学杂志》2022年第10期1219-1222,共4页Chinese Journal of Anesthesiology

摘　　要：目的评价可视喉镜用于胎龄32周内早产儿复苏气管插管术的效果。方法收集自2019年1月至2021年12月在郑州大学第三附属医院出生的胎龄<32周,出生后需行气管插管术的早产儿84例,采用随机数字表法分为直接喉镜组和可视喉镜组,每组42例。记录2组患儿声门显露情况、气管插管时间、首次气管插管成功及气管插管有关并发症的发生情况。结果与直接喉镜组比较,可视喉镜组声门显露时间和气管插管时间缩短,首次气管插管成功率升高(P<0.05)。2组喉镜插管时声门暴露程度和气管插管有关并发症发生率比较差异无统计学意义(P>0.05)。结论可视喉镜用于胎龄32周内早产儿复苏气管插管术的效果优于直接喉镜。Objective To evaluate the efficacy of visual laryngoscope for tracheal intubation for resuscitation in the premature infants born within 32 weeks of gestation.Methods A total of 84 premature infants who were born<32 weeks of gestation in the Third Affiliated Hospital of Zhengzhou University and required tracheal intubation after birth from January 2019 to December 2021 were enrolled and divided into direct laryngoscope group and visual laryngoscope group according to the random number table method,with 42 cases in each group.The glottis exposure,intubation time,successful tracheal intubation at first attempt and complications related to intubation were recorded in the two groups.Results Compared with direct laryngoscope group,the time of glottis exposure and tracheal intubation was significantly shortened,and the success rate of endotracheal intubation at first attempt was increased in visual laryngoscope group(P<0.05).There was no significant difference in the glottis exposure during laryngoscope-assisted intubation and incidence of complications related to tracheal intubation between the two groups(P>0.05).Conclusions Visual laryngoscope provides better efficacy than direct laryngoscope when used for tracheal intubation for resuscitation in the premature infants born within 32 weeks of gestation.

关 键 词：喉镜检查 婴儿 早产 插管法 气管内 

分 类 号：R726.1[医药卫生—儿科]