基于可视喉镜联合纤维支气管镜的双腔支气管插管在胸外科手术麻醉中的应用价值分析  

Application Value Analysis of Double Cavity Bronchial Intubation Based on Visual Laryngoscope Combined with Fiberoptic Bronchoscope in Anesthesia of Thoracic Surgery

作　　者：张秀慧 贺潇 潘富鹏 Zhang Xiuhui;He Xiao;Pan Fupeng(Department of Anesthesiology,Xinxiang First People's Hospital,Xinxiang 453000,Henan,China)

机构地区：[1]新乡市第一人民医院麻醉科,河南新乡453000

出　　处：《哈尔滨医药》2025年第2期8-10,共3页Harbin Medical Journal

摘　　要：目的探究在胸外科手术麻醉中,运用可视喉镜联合纤维支气管镜(FOB)实施双腔支气管插管(DLT)的临床价值。方法选取76例接受胸外科手术患者,随机分为对照组(38例)和观察组(38例)。对照组采用传统方法DLT,观察组则采用可视喉镜+FOB辅助下的DLT。对比两组患者血流动力学指标、插管定位时间、声门暴露时间、一次性插管成功率以及咽喉水肿、口腔损伤、声带受损、牙龈损伤等并发症发生情况。结果在插管前,两组患者的血流动力学水平对比(P>0.05);在插管即刻以及插管后3min,观察组的心率、收缩压以及舒张压水平均低于对照组(P<0.05);与对照组相比,观察组的插管定位时间和声门暴露时间明显更短,一次性插管成功率更高,插管并发症发生率显著更低(P<0.05)。结论在胸外科手术麻醉中,采用可视喉镜联合FOB辅助下的DLT效果较好,能大幅提高一次性插管成功率,显著缩短插管所用时间,降低插管并发症发生几率,可临床推广。Objective To explore the clinical value of using visual laryngoscope combined with fiberoptic bronchoscope(FOB)to perform dual lumen bronchial intubation(DLT)in thoracic surgery anesthesia.Methods A total of 76 patients with thoracic surgery were randomly divided into control group(38 cases)and observation group(38 cases).The control group was treated with traditional DLT,while the observation group was treated with visual laryngoscope and FOB assisted DLT.Hemodynamic indexes,intubation positioning time,glottic exposure time,one-time intubation success rate and complications such as laryngeal edema,oral injury,vocal cord injury and gum injury were compared between the two groups.Results Before intubation,the hemodynamic levels of the two groups were compared(P>0.05).Immediately after intubation and 3 minutes after intubation,the heart rate,systolic blood pressure and diastolic blood pressure of observation group were lower than those of control group(P<0.05).Compared with the control group,the intubation positioning time and glottic exposure time in the observation group were significantly shorter,the success rate of one-time intubation was higher,and the incidence of intubation complications was significantly lower(P<0.05).Conclusion In the anesthesia of thoracic surgery,DLT assisted by visual laryngoscope combined with FOB has a good effect,which can greatly improve the success rate of one-time intubation,significantly shorten the time of intubation,and reduce the incidence of complications of intubation,which can be clinically popularized.

关 键 词：可视喉镜 纤维支气管镜 双腔支气管插管 胸外科手术 麻醉 

分 类 号：R614.3[医药卫生—麻醉学]