广东省困难气道管理现状调查及分析

发布时间：2019-01-06 14:13

【摘要】：目的对广东省部分二级以上医疗机构气道管理的现状进行调查,为广东省气道管理提供参考。方法采用邮寄调查问卷的方法,对66家医院进行调查。问卷内容包括:麻醉科基本情况,业务开展情况,困难气道相关器械配置情况,常碰到的困难气道情况,常用预测方法,困难气道麻醉,困难气道处理方法等。以三甲、二甲医院为分组变量,采用校正χ2对调查结果进行分析比较。结果手术间与麻醉医师之比为1∶0.99。各医院Macintosh喉镜、口咽通气道、鼻咽通气道和喉罩的配置率为100.0%;纤维支气管镜(纤支镜)12.0%,视频喉镜18.0%,急救环甲膜穿刺套件18.2%。困难气道以肥胖多见(三甲57.5%,二甲53.0%),其次是张口困难(三甲48.1%,二甲44.0%)。困难气道中以喉头暴露困难为多见(三甲47.2%,二甲49.5%)。预测困难气道的主要方法是张口度(三甲53.6%,二甲50.0%)。困难气道时选择清醒气管插管的比例为30.0%(三甲)和17.5%(二甲)。对于环甲膜穿刺或气管切开50.0%(三甲)、30.0%(二甲)的麻醉医师从未做过。结论麻醉科室人力资源依然缺乏,困难气道处理工具配备严重不足,在困难气道处理方面仍需不断改善。
[Abstract]:Objective to investigate the current situation of airway management in some medical institutions above level 2 in Guangdong Province, and to provide reference for airway management in Guangdong Province. Methods 66 hospitals were investigated by mail questionnaire. The contents of the questionnaire include: the basic situation of anesthesiology department, the situation of business development, the configuration of equipment related to difficult airway, the often encountered difficult airway situation, the commonly used prediction method, the difficult airway anesthesia, the difficult airway treatment method and so on. The results of the investigation were analyzed and compared by using corrected 蠂 2. Results the ratio of operation room to anesthesiologist was 1: 0.99. The allocation rate of Macintosh laryngoscope, oropharyngeal airway, nasopharynx airway and laryngeal mask was 100.00.Fiberoptic bronchoscopy (fiberoptic bronchoscope) 12.0, video laryngoscope 18.0, first aid annular thyroid membrane puncture kit 18.2g. Obesity was more common in the difficult airway (57.5% in trimester, 53.0% in dimethyl), and difficulty in opening mouth (48.1% in trimester and 44.0% in dimethyl). The difficulty of larynx exposure was more common in difficult airway (47.2% of trimethyl and 49.5% of second methylene). The main method of predicting difficult airway is opening the mouth (53.6% of trimethyl, 50.0% of second nail). The proportion of conscious tracheal intubation in difficult airway was 30.0% (third A) and 17.5% (second one). For Cycloid membrane puncture or tracheotomy, 50. 0% (3. 0%) and 30. 0% (2. 1) anaesthesiologist never did. Conclusion the human resources of anesthesiology department are still lacking, the equipment of difficult airway management is seriously inadequate, and the treatment of difficult airway needs to be improved continuously.
【作者单位】：广州中医药大学第一附属医院麻醉科;广州市中西医结合医院麻醉科;
【基金】：广东省科学技术厅社会发展项目(2011B031800029)
【分类号】：R614

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