可视喉镜在解剖结构异常的困难气道脑动脉瘤栓塞术患者的应用

发布时间：2019-05-24 23:30

【摘要】：目的评价UE可视喉镜在解剖结构异常的困难气道脑动脉瘤栓塞术患者气管插管的临床应用价值。方法 20例脑动脉瘤栓塞术的患者,ASAII~III级,Mallampati气道分级Ⅲ~IV级,随机分为UE可视喉镜组(A组)和Macintosh直视喉镜组(B组),每组10例。记录两组患者插管时间,插管成功率,气管插管前(T0)、置入气管导管时min(T1)、置入气管导管后1min(T2)、3min(T3)和5min(T4)的Sp02、HR、SBP及DBP,以及气管插管不良反应的发生情况。结果 T1、T2和T3时B组的HR、SBP及DBP高于A组,差异有统计学意义(P0.05);T4时B组患者HR、SBP及DBP高于A组,差异均无统计学意义(P0.05)。A组患者插管时间显著低于B组患者,总的不良反应发生率A组显著低于B组。结论 UE可视喉镜可减轻解剖结构异常的困难气道脑动脉瘤栓塞术患者气管插管时的应激反应,能有效保障患者围麻醉期的安全。
[Abstract]:Objective to evaluate the clinical value of UE visual laryngoscope in endotracheal intubation in patients with difficult airway cerebral aneurysm embolism with abnormal anatomical structure. Methods Twenty patients with cerebral aneurysm embolism, ASAII~III grade, Mallampati airway grade III ~ IV grade, were randomly divided into UE visual laryngoscope group (group A) and Macintosh direct laryngoscope group (group B) with 10 cases in each group. The intubation time, success rate of intubation, min (T1) before endotracheal intubation (T0), Sp02,HR,SBP and DBP, of 1min (T2), 3min (T3) and 5min (T4) after endotracheal catheterization were recorded. And the occurrence of adverse reactions to endotracheal intubation. Results HR,SBP and DBP in group B were higher than those in group A at T1, T2 and T3, the difference was statistically significant (P 0.05). At T 4, HR,SBP and DBP in group B were significantly higher than those in group A, and there was no significant difference (P 0.05). The intubation time in group). A was significantly lower than that in group B, and the total incidence of adverse reactions in group A was significantly lower than that in group B. Conclusion UE visual laryngoscope can reduce the stress response during endotracheal intubation in patients with difficult airway cerebral aneurysm embolism with abnormal anatomical structure, and can effectively ensure the safety of patients during perioperative anesthesia.
【作者单位】：暨南大学第二临床医学院;深圳市人民医院麻醉科;深圳市人民医院体检科;
【基金】：广东省深圳市科技创新委员会资助项目(JCYJ20140416122812031)
【分类号】：R614

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