光棒引导下气管插管对鼾症手术患者血液动力学的影响

发布时间：2017-12-31 16:10

本文关键词：光棒引导下气管插管对鼾症手术患者血液动力学的影响　出处：《昆明医科大学学报》2016年12期 　论文类型：期刊论文

【摘要】：目的探讨光棒和喉镜引导下气管插管对鼾症手术患者麻醉期血液动力学的影响.方法将74例接受鼾症手术患者随机分为光棒组和喉镜组,比较2组患者插管时间、插管成功率、麻醉各时点心率(HR)、收缩压(SBP)和舒张压(DBP)变化及并发症情况.结果光棒组插管时间明显短于喉镜组,且插管成功率也明显高于喉镜组(P0.05);2组患者在T1时点HR、SBP、DBP显著低于2组T0时点水平(P0.05);在T2、T3时2组HR、SBP、DBP水平较T1时有明显提高(P0.05),而光棒组T2、T3时HR、SBP、DBP变化幅度小于喉镜组,差异具有显著性(P0.05).光棒组黏膜损伤、牙龈损伤、咽痛以及声音嘶哑等并发症的发生率均显著低于喉镜组(P0.05).结论光棒引导气管插管成功率高、插管时间短、患者血液动力学稳定且术后并发症发生率低,值得临床推广应用.
[Abstract]:Objective to investigate the effect of tracheal intubation under the guidance of light rod and laryngoscope on hemodynamics in patients with snoring during anesthesia. Methods 74 patients undergoing snoring surgery were randomly divided into light rod group and laryngoscope group. The time of intubation, the success rate of intubation and heart rate of anesthesia were compared between the two groups. Results the intubation time of light rod group was shorter than that of laryngoscope group, and the successful rate of intubation was significantly higher than that of laryngoscope group. The level of SBP DBP in group 2 was significantly lower than that in group 2 at T 0 time point (P 0.05). At T _ 2 T _ 3, the DBP level of SBP in the two groups was significantly higher than that in the T _ 1 group, while that in the light rod group was lower than that in the laryngoscope group. The difference was significant (P 0.05). The mucosal injury and gingival injury were observed in the light rod group. The incidence of complications such as sore throat and hoarseness was significantly lower than that in laryngoscope group (P 0.05). Conclusion the successful rate of tracheal intubation guided by bare rod is high and the intubation time is short. Patients with stable hemodynamics and low incidence of postoperative complications are worthy of clinical application.
【作者单位】：平顶山市第二人民医院手术部;南昌大学第二附属医院麻醉科;
【基金】：江西省科技计划基金资助项目(2014112270108)
【分类号】：R614
【正文快照】： 330006)鼾症又称为阻塞性呼吸暂停综合征(obstruc-tive sleep apnea and hyperpnoea syndrome,OSAS),是成年人群的常见疾病.该病是由于患者上呼吸道组织结构异常而引起的睡眠时打鼾、呼吸暂停、憋气等,可导致患者呼吸系统、神经系统以及心血管系统功能紊乱.鼾症也可引起动脉血

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