比较Glidescope喉镜与Macintosh喉镜气管插管的meta分析

发布时间：2018-04-14 00:39

本文选题：Glidescope + Macintosh　；参考：《上海交通大学》2015年硕士论文

【摘要】：【目的】Glidescope视频喉镜较直接喉镜可以提供更好的暴露视野,但对于是否缩短插管时间、提高一次插管成功率、改善插管时血流动力学改变等方面仍有异议。本次研究目的在于比较评价GlideScope视频喉镜与普通Macintosh喉镜在不同气管插管情况中的效果。【方法】通过检索Medline、Embase、Cochrane图书馆和一些参考书目,筛选符合纳入标准的文献,按照随机对照试验的质量评价标准严格评价各个相关纳入文献,对纳入文献的相关研究数据进行提取:(1)插管时间和一次插管成功率(2)困难插管评分(IDS)、插管期间血流动力学改变和并发症。【结果】Glidescope喉镜比Macintosh喉镜成人经鼻插管时间缩短[MD,-13.91s;95%CI(-23.60s,-4.22s)],但延长小儿插管时间[MD,7.64s,95%CI(2.78s,12.50s)]和成人经口插管时间[MD,8.75s;95%CI(3.62s,13.89)],此外提高困难插管和初学者的一次插管成功率分别是[RR,3.70;95%CI(1.81,7.54)]和[RR 7.88,95%CI(2.95,21.07)]。Glidescope视频喉镜可以降低IDS,但对插管引起的并发症和血流动力学无明显改善。【结论】GlideScope可视喉镜与Macintosh直接喉镜相比,能提高声门暴露程度,降低困难插管评分,但不能缩短经口和小儿气管插管时间,对并发症和血流动力学改变无明显改善。对于初学者插管、困难气道插管而言,Glidescope喉镜一次插管成功率较高。此外,Glidescope喉镜可以缩短成人经鼻插管时间。
[Abstract]:Objective: Glidescope video laryngoscope can provide better exposed visual field than direct laryngoscope, but there are still some dissent on whether to shorten the intubation time, increase the success rate of one intubation, and improve the hemodynamic changes during intubation.The purpose of this study was to compare and evaluate the effects of GlideScope video laryngoscope and common Macintosh laryngoscope on different tracheal intubation.According to the quality evaluation criteria of randomized controlled trials, the relevant literature was strictly evaluated.The relevant data included in the literature were extracted from the data collected from the study. The time of intubation and the success rate of one intubation were extracted. (2) the score of difficult intubation, hemodynamic changes and complications during intubation. [results] Glidescope laryngoscope was better than Macintosh laryngoscope in adult nasal intubation.There was no significant improvement in hemodynamics and symptom. [conclusion] GlideScope visual laryngoscope is more effective than Macintosh direct laryngoscope.It can improve the glottic exposure and reduce the score of difficult intubation, but it can not shorten the time of tracheal intubation through mouth and children, and has no significant improvement on complications and hemodynamic changes.For beginner intubation, the success rate of Glidescope laryngoscope intubation is higher.In addition, Glidescope laryngoscope can shorten the time of nasal intubation in adults.
【学位授予单位】：上海交通大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R614

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