视可尼可视喉镜在张口困难患者麻醉中的应用

发布时间：2018-11-11 21:11

【摘要】：目的:探讨视可尼可视喉镜(SOS)在张口困难患者气管插管全身麻醉中的应用价值。方法:收集笔者所在医院2015年1月-2016年1月拟行气管插管全身麻醉患者100例,然后将100例患者随机分为观察组和对照组,观察组患者50例,采用视可尼可视喉镜行气管插管,对照组患者50例,采用Macintoch直接喉镜行气管插管。然后对两组患者的气管插管总耗时、一次插管成功率和插管相关并发症进行对比和分析。结果:观察组患者采用视可尼可视喉镜行气管插管的总耗时明显短于对照组患者采用Macintoch直接喉镜行气管插管的总耗时,差异有统计学意义(P0.05)。观察组患者采用视可尼可视喉镜行气管插管的一次插管成功率明显高于对照组患者采用Macintoch直接喉镜行气管插管的一次插管成功率,差异有统计学意义(P0.05)。观察组采用视可尼可视喉镜行气管插管发生气道黏膜损伤、牙齿脱落或者松动以及循环波动超过基础值的20%等并发症的患者明显少于对照组采用Macintoch直接喉镜行气管插管发生气道黏膜损伤、牙齿脱落或者松动以及循环波动超过基础值的20%等并发症的患者,差异有统计学意义(P0.05)。结论:视可尼可视喉镜用于张口困难患者气管插管总耗时短,一次插管成功率高,插管相关并发症少,值得临床推广运用。
[Abstract]:Objective: to investigate the value of visual laryngoscope (SOS) in tracheal intubation general anesthesia in patients with difficult mouth opening. Methods: from January 2015 to January 2016, 100 patients with tracheal intubation were randomly divided into two groups: observation group (n = 50) and control group (n = 50). 50 patients in the control group were intubated with Macintoch direct laryngoscope. Then, the total time consuming of tracheal intubation, the success rate of one intubation and the complications associated with intubation were compared and analyzed between the two groups. Results: the total time consuming of tracheal intubation by visual laryngoscope in the observation group was significantly shorter than that in the control group by Macintoch direct laryngoscope (P0.05). The success rate of tracheal intubation with visual laryngoscope in the observation group was significantly higher than that in the control group with Macintoch direct laryngoscope (P0.05). In the observation group, tracheal intubation with visual laryngoscope was used to induce airway mucosal injury. The number of patients with complications such as tooth loss or loosening and circulation fluctuating more than 20% of the basic value was significantly less than that of the control group who underwent Macintoch direct laryngoscope to intubate airway mucous membrane injury. The difference was statistically significant in patients with tooth loss or loosening as well as circulation fluctuation exceeding 20% of the basic value (P0.05). Conclusion: the tracheal intubation by visual laryngoscope in patients with difficult mouth opening takes less time, higher success rate and less complications, so it is worth popularizing in clinic.
【作者单位】：大理白族自治州人民医院;
【分类号】：R614

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