Shikani喉镜与Macintosh喉镜在双腔气管导管插管中的比较

发布时间：2018-03-19 04:24

本文选题：双腔气管导管　切入点：插管　出处：《北京大学学报(医学版)》2015年05期 　论文类型：期刊论文

【摘要】：目的:比较Shikani喉镜和Macintosh喉镜在双腔气管导管插管中的有效性和安全性。方法:60例择期行胸外科手术的患者随机分为Shikani喉镜组(S组,n=30)和Macintosh喉镜组(M组,n=30),在全麻诱导后分别采用Shikani喉镜和Macintosh喉镜插入双腔气管导管,记录患者插管时间,插管次数,是否发生导管套囊破裂及口唇、牙齿损伤,患者基础(T0)血压和心率,以及插管开始时(T1)、插管完成后1 min(T2)、插管完成后3 min(T3)、插管完成后5 min(T4)的血压和心率,评估术后24 h患者有无声音嘶哑及咽喉疼痛。结果:S组患者插管时间少于M组[(37.4±9.7)s vs.(43.9±13.7)s,P=0.039],两组一次插管成功率差异无统计学意义(87%vs.80%,P=0.488);两组均未发生套囊破损;S组发生口唇及牙齿损伤者少于M组(8例vs.2例,P=0.038);两组患者之间T0、T1、T2、T3、T4的血压、心率差异无统计学意义(P0.05);两组患者术后24 h咽痛(7例vs.10例,P=0.390)及声嘶(5例vs.7例,P=0.519)发生率差异无统计学意义(P0.05)。结论:与Macintosh喉镜相比,Shikani喉镜插管花费时间短,口唇及牙齿损伤发生率更小
[Abstract]:Objective: to compare the efficacy and safety of Shikani laryngoscope and Macintosh laryngoscope in double lumen tracheal catheter intubation. Methods: 60 patients undergoing elective thoracic surgery in Shikani laryngoscope group were randomly divided into Shikani laryngoscope group (S group) and Macintosh laryngoscope group (M group). Shikani laryngoscope and Macintosh laryngoscope were used to insert double lumen trachea catheter. The time of intubation, the times of intubation, whether or not the ruptured ductal capsule, the lip of mouth, the tooth injury, the blood pressure and heart rate of the patients were recorded. Blood pressure and heart rate at the beginning of intubation, 1 min after intubation, 3 min after intubation and 5 min after intubation. Results the intubation time in group S was less than that in group M [37.4 卤9.7 vs.(43.9 卤13.7 vs.(43.9 卤13.7 vs.(43.9 0.039]. There was no significant difference in the success rate of one intubation between the two groups, and there was no significant difference between the two groups in the success rate of intubation. The blood pressure of T0 / T1 / T2 / T3 / T4 between two groups was lower than that in group M (n = 8, vs.2 = 0.038, P < 0.05), and the incidence of tooth injury was less than that in group M (n = 8, P = 0.038). There was no significant difference in heart rate between the two groups 24 hours after operation, there was no significant difference in the incidence of vs.10 (n = 7) and hoarseness (n = 5) and vs.7 (n = 5). Conclusion: compared with Macintosh laryngoscope, the intubation time of Macintosh laryngoscope is shorter than that of Macintosh laryngoscope. Lower incidence of lip and tooth injury
【作者单位】：北京大学第三医院麻醉科;
【分类号】：R614

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