梨状窝定位经口盲探插管法在预计有困难气管插管中的临床应用

发布时间：2018-04-26 13:15

本文选题：梨状窝 + 盲探插管　；参考：《实用医学杂志》2015年03期

【摘要】：目的:评价梨状窝定位经口盲插法气管插管在预计有困难气管插管的效果及安全性。方法:40例预计有困难气管插管的全麻患者随机均分为两组:S组和L组,分别以视可尼可视喉镜和梨状窝定位经口盲探法行气管插管,记录麻醉诱导前后呼吸、循环情况;插管成功率、插管时间及并发症情况。结果:尽管S组和L组第1次插管成功率为85%和60%(P=0.08),但插管总成功率均为100%,而且L组插管时间明显低于S组[(16.10±9.14)s vs(42.80±15.43)s,P=0.000];插管过程中,两组Sp O2均能保持97%以上,MAP、HR虽有一定波动,但很快恢复,两组间比较差异无统计学意义;并发症方面,两组比较差异均无统计学意义。结论:梨状窝定位经口盲探气管插管法,操作简便、成功率高、并发症少,有助于解决困难气管插管。
[Abstract]:Objective: to evaluate the efficacy and safety of piriform fossa localization via oral blind intubation in predicting difficult tracheal intubation. Methods 40 patients with general anesthesia who were expected to have difficulty intubation were randomly divided into two groups: group S and group L. tracheal intubation was performed with visual laryngoscope and piriform fossa respectively. The respiration and circulation were recorded before and after anesthesia induction. Successful rate of intubation, time of intubation and complications. Results: although the success rate of the first intubation in group S and group L was 85% and 60%, the total success rate of intubation was 100, and the intubation time in group L was significantly lower than that in group S [16.10 卤9.14s vs(42.80 卤15.43sP0. 000]. However, the difference between the two groups was not statistically significant, and there was no significant difference in complications between the two groups. Conclusion: the piriform fossa location through oral blind tracheotracheal intubation is simple, with high success rate and less complications, which is helpful to solve the difficulty of tracheal intubation.
【作者单位】：南方医科大学珠江医院麻醉科;江西省赣南医学院第一附属医院麻醉科;
【分类号】：R614

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