硬性光棒引导对全身麻醉经口气管插管患者血流动力学、插管成功率及并发症发生情况的影响  

Effects of rigid light rod guidance on hemodynamics,success rate of intubation and occurrence of complications in patients underwent general anesthesia with orotracheal intubation

作　　者：张艳玲 刘波 石奎 ZHANG Yanling;LIU Bo;SHI Kui(Hanzhong Hospital of TCM,Hanzhong 723102;Hanzhong People's Hospital,Hanzhong 723000,China)

机构地区：[1]汉中市中医医院,陕西汉中723102 [2]汉中市人民医院,陕西汉中723000

出　　处：《临床医学研究与实践》2024年第34期91-94,共4页Clinical Research and Practice

摘　　要：目的探讨硬性光棒引导对全身麻醉经口气管插管患者血流动力学、插管成功率及并发症发生情况的影响。方法选取2022年3月至12月收治的80例全身麻醉经口气管插管患者作为研究对象,以随机数字表法将其分为对照组和观察组,各40例。两组均行麻醉诱导,对照组在可视喉镜辅助下经口气管插管,观察组在硬性光棒引导下经口气管插管。比较两组的应用效果。结果插管后即刻(T_(1))、插管后10 min(T_(2)),观察组的平均动脉压(MAP)、心率(HR)低于对照组(P<0.05)。T_(1)、T_(2),观察组的皮质醇(Cor)、去甲肾上腺素(NE)水平低于对照组(P<0.05)。T_(1)、T_(2),观察组的麻醉深度指数(CSI)低于对照组(P<0.05)。两组的一次插管成功率比较,差异无统计学意义(P>0.05);观察组的并发症总发生率低于对照组(P<0.05)。结论硬性光棒引导用于全身麻醉经口气管插管有助于维持患者的血流动力学、CSI稳定,减轻机体应激反应,且插管相关并发症发生率低,值得推广。Objective To explore the effects of rigid light rod guidance on hemodynamics,success rate of intubation and occurrence of complications in patients underwent general anesthesia with orotracheal intubation.Methods A total of 80 patients underwent general anesthesia with orotracheal intubation admitted from March to December 2022 were selected as the research objects,and the patients were divided into control group and observation group by random number table method,with 40 cases in each group.Anesthesia induction was performed in both groups,the control group underwent orotracheal intubation assisted by visual laryngoscope,and the observation group underwent orotracheal intubation guidance by rigid light rod.The application effects of the two groups were compared.Results At immediately after intubation(T_(1))and 10 min after intubation(T_(2)),the mean arterial pressure(MAP)and heart rate(HR)of the observation group were lower than those of the control group(P<0.05).T_(1) and T_(2),the levels of cortisol(Cor)and norepinephrine(NE)in the observation group were lower than those in the control group(P<0.05).T_(1) and T_(2),the cerebral state index(CSI)of the observation group was lower than that of the control group(P<0.05).There was no significant difference in the success rate of one-time intubation between the two groups(P>0.05);the total incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion The rigid light rod guidance for general anesthesia with orotracheal intubation is helpful to maintain the stability of hemodynamics and CSI of patients,reduce the body's stress response,and has low incidence of intubation-related complications,which is worthy of promotion.

关 键 词：硬性光棒 可视喉镜 全身麻醉 经口气管插管 血流动力学 

分 类 号：R614[医药卫生—麻醉学]