可视软镜在儿童全身麻醉龋齿治疗中的应用  

Application of visual soft lens in the treatment of dental caries in children under general anesthesia

作　　者：肖荣 彭涛[1] 漆志民 XIAO Rong;PENG Tao;QI Zhimin(Department of Anesthesiology,Stomatological Hospital Affiliated to Nanchang University,Jiangxi Key Laboratory of Oral Biomedicine,Jiangxi Clinical Medical Research Center of Oral Diseases,Nanchang 330000,Jiangxi,China)

机构地区：[1]南昌大学附属口腔医院麻醉科,江西省口腔生物医学重点实验室,江西省口腔疾病临床医学研究中心,江西南昌330000

出　　处：《中国现代医生》2024年第21期38-41,共4页China Modern Doctor

基　　金：江西省卫生健康委科技计划项目(202410280)。

摘　　要：目的探讨可视软镜辅助经鼻气管插管在儿童全身麻醉龋齿治疗中的应用效果。方法选取2020年4月至2023年4月在南昌大学附属口腔医院择期全身麻醉下行龋齿治疗的患儿80例,年龄3~5岁。根据随机数字表法分为可视喉镜组和可视软镜组,每组40例。可视喉镜组患儿采用可视喉镜气管插管,可视软镜组患儿采用可视软镜气管插管。比较两组患儿气管插管套囊破裂、口腔软组织损伤、声嘶等插管并发症发生率与声门暴露时间、气管插管时间、首次气管插管成功率及诱导前30min、诱导后即刻、气管插管置入即刻、气管插管置入后3min患儿的心率(heart rate,HR)和平均动脉压(meanarterialpressure,MAP)。结果可视软镜组气管插管置入即刻患儿的HR、MAP和气管插管时间、套囊破裂及口腔软组织损伤发生率低于可视喉镜组(P<0.05)。结论全身麻醉龋齿治疗患儿应用可视软镜经鼻气管插管时,血流动力学稳定,插管时间短,插管并发症发生率低,可在临床推广应用。Objective To investigate the effect of visual soft lens assisted nasotracheal intubation in the treatment of dental caries in children under general anesthesia.Methods Eighty children aged 3-5 years undergoing dental caries treatment under general anesthesia in Stomatological Hospital Affiliated to Nanchang University from April 2020 to April 2023 were selected.According to the random number table method,they were divided into visual laryngoscope group and visual soft lens group,with 40 cases in each group.Children in visual laryngoscope group were used visual laryngoscope endotracheal intubation,children in visual soft lens group were used visual soft lens endotracheal intubation.The incidence of intubation complications such as cuff rupture,oral soft tissue injury and hoarseness were compared between two groups.The glottis exposure time,endotracheal intubation,endotracheal intubation success rate for the first time,heart rate(HR)and mean arterial pressure(MAP)were measured 30min before induction,immediately after induction,immediately after tracheal intubation and 3min after tracheal intubation.Results HR,MAP,tracheal intubation time,the incidence of cuff rupture and oral soft tissue injury immediately after tracheal intubation in visual soft lens group were lower than those in visual laryngoscope group(P<0.05).Conclusion The use of visual soft lens for nasotracheal intubation in children with dental caries under general anesthesia has stable hemodynamics,short intubation time,and low incidence of intubation complications,which can be effectively applied in clinical practice.

关 键 词：可视软镜 全身麻醉 龋齿 气管插管 儿童 

分 类 号：R614.2[医药卫生—麻醉学]