Shikani可视喉镜与Mc Coy喉镜用于老年患者全身麻醉气管插管的比较研究
发布时间：2018-10-24 06:21
【摘要】：目的对比Shikani可视喉镜与Mc Coy喉镜用于老年患者全身麻醉气管插管的效果差异。方法 112例在该院接受全身麻醉的老年患者被纳入研究,根据接受的麻醉插管方式不同,所有入组患者被分为Shikani可视喉镜组(52例)、Mc Coy喉镜组(60例)。检测两组患者的插管前后血流动力学指标、应激相关指标以及脑电相关指标。结果 Shikani可视喉镜组患者一次插管成功率、总插管成功率均高于Mc Coy喉镜组患者,多次插管率低于Mc Coy喉镜组患者(P0.05);Shikani可视喉镜组患者的T_1、T_2时平均动脉压(MAP)和心率(HR)水平低于相应时间点的Mc Coy喉镜组患者(P0.05);Shikani可视喉镜组患者的T_1、T_2时血浆肾上腺素、去甲肾上腺素、血糖水平低于相应时间点的Mc Coy喉镜组患者(P0.05);Shikani可视喉镜组患者的T_1、T_2时脑电双频指数(BIS)、ECo G分级、αβ波相对功率值(αβ%)均低于对应时间点的Mc Coy喉镜组患者(P0.05)。结论老年患者全身麻醉气管插管时应用Shikani可视喉镜,在提升插管成功率的同时,可以有效稳定患者的循环系统,减少过度应激造成的躯体各系统功能异常,具有积极的临床意义。
[Abstract]:Objective to compare the effect of Shikani laryngoscope and Mc Coy laryngoscope on tracheal intubation under general anesthesia in elderly patients. Methods 112 elderly patients undergoing general anesthesia in this hospital were included in the study. According to the different intubation methods, all the patients were divided into Shikani visual laryngoscope group (52 cases), Mc Coy laryngoscope group, 60 cases). Hemodynamics, stress and EEG were measured before and after intubation. Results the success rate of single intubation and total intubation in Shikani visual laryngoscope group was higher than that in Mc Coy laryngoscope group. The multiple intubation rate was lower than that in Mc Coy laryngoscope group (P0.05). The mean arterial pressure (MAP) and heart rate (HR) were lower in Mc Coy laryngoscope group than in Mc Coy laryngoscope group (P0.05 in); Shikani visual laryngoscope group, P 0.05). The blood glucose level in Mc Coy laryngoscope group was lower than that in Mc Coy laryngoscope group at the corresponding time point (P0.05). The relative power of 伪 尾 wave (伪 尾%) was lower than that in Mc Coy laryngoscope group at the same time point (P0.05). Conclusion Shikani visual laryngoscope can effectively stabilize the circulatory system and reduce the abnormal function of somatic system caused by excessive stress in elderly patients with general anesthesia tracheal intubation by using Shikani visual laryngoscope to improve the success rate of intubation. It has positive clinical significance.
【作者单位】： 首都医科大学附属北京世纪坛医院麻醉科;
【分类号】：R614.2
，
本文编号：2290569
[Abstract]:Objective to compare the effect of Shikani laryngoscope and Mc Coy laryngoscope on tracheal intubation under general anesthesia in elderly patients. Methods 112 elderly patients undergoing general anesthesia in this hospital were included in the study. According to the different intubation methods, all the patients were divided into Shikani visual laryngoscope group (52 cases), Mc Coy laryngoscope group, 60 cases). Hemodynamics, stress and EEG were measured before and after intubation. Results the success rate of single intubation and total intubation in Shikani visual laryngoscope group was higher than that in Mc Coy laryngoscope group. The multiple intubation rate was lower than that in Mc Coy laryngoscope group (P0.05). The mean arterial pressure (MAP) and heart rate (HR) were lower in Mc Coy laryngoscope group than in Mc Coy laryngoscope group (P0.05 in); Shikani visual laryngoscope group, P 0.05). The blood glucose level in Mc Coy laryngoscope group was lower than that in Mc Coy laryngoscope group at the corresponding time point (P0.05). The relative power of 伪 尾 wave (伪 尾%) was lower than that in Mc Coy laryngoscope group at the same time point (P0.05). Conclusion Shikani visual laryngoscope can effectively stabilize the circulatory system and reduce the abnormal function of somatic system caused by excessive stress in elderly patients with general anesthesia tracheal intubation by using Shikani visual laryngoscope to improve the success rate of intubation. It has positive clinical significance.
【作者单位】： 首都医科大学附属北京世纪坛医院麻醉科;
【分类号】：R614.2
，
本文编号：2290569
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