GlideScope视频喉镜用于76例老年患者气管插管的临床观察

发布时间：2018-08-18 17:45

【摘要】：目的研究GlideScope视频喉镜用于老年患者气管插管的临床效果。方法选取2012年3月至2013年3月在该院行腹部手术患者76例,将患者分为两组,一组采用GlideScope视频喉镜插管为观察组(n=38);另一组为对照组(n=38),采用普通Macintosh喉镜插管。麻醉诱导后,行气管插管。记录气管插管时间、气管插管成功情况;气管插管前(Ta)、气管插管时(T0)、气管插管后5min(T5)、气管插管后10min(T10)及拔管时(TS)的血流动力学变化情况;GlideScope视频喉镜对声门及会厌的显露情况。结果与对照组比较,观察组气管插管时间缩短,1次插管成功率升高(P0.05),观察组血流动力学比对照组稳定,观察组对声门及会厌的显露情况优于对照组。结论 GlideScope视频喉镜气管插管可缩短插管时间,提高首次插管成功率,血流动力学稳定,可安全有效用于老年患者麻醉。
[Abstract]:Objective to study the clinical effect of GlideScope video laryngoscope on tracheal intubation in elderly patients. Methods 76 patients undergoing abdominal surgery from March 2012 to March 2013 were divided into two groups: one group was treated with GlideScope video laryngoscope intubation as observation group, the other group was normal Macintosh laryngoscope intubation group. After anesthesia induction, tracheal intubation was performed. The hemodynamic changes of (Ta), intubation before tracheal intubation (T0), 5min (T5) after tracheal intubation, 10min (T10) after tracheal intubation and (TS) during extubation were recorded. GlideScope video laryngoscope revealed glottis and epiglottis. Results compared with the control group, the successful rate of tracheal intubation was increased in the observation group (P0.05). The hemodynamics of the observation group was more stable than that of the control group, and the exposure of glottis and epiglottis in the observation group was better than that in the control group. Conclusion GlideScope video laryngoscopic tracheal intubation can shorten the intubation time, improve the success rate of the first intubation, and the hemodynamics is stable.
【作者单位】：湖北省天门市第一人民医院麻醉科;
【分类号】：R614.2

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