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[1]李榮鋼 陳 鋒 高 飛 李興財.UEscope可視硬質(zhì)喉鏡在急診頸椎手術(shù)氣管插管中的應(yīng)用[J].福建醫(yī)藥雜志,2019,41(03):17-20.
　CHEN Feng,GAO Fei,LI Xingchai..Application of UEscope visible hard laryngoscope in emergency cervical patients who received tracheal intubation general anesthesiaLI Ronggang,[J].FUJIAN MEDICAL JOURNAL,2019,41(03):17-20.
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UEscope可視硬質(zhì)喉鏡在急診頸椎手術(shù)氣管插管中的應(yīng)用()
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《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]

卷:
41
期數(shù):
2019年03期
頁碼:
17-20
欄目:
臨床研究
出版日期:
2019-02-20

文章信息/Info

Title:
Application of UEscope visible hard laryngoscope in emergency cervical patients who received tracheal intubation general anesthesiaLI Ronggang,
文章編號:
1002-2600(2019)03-0017-04
作者:
李榮鋼 陳 鋒 高 飛 李興 財
福建醫(yī)科大學(xué)省立臨床醫(yī)學(xué)院 福建省急救中心麻醉科(福州 350001)
Author(s):
CHEN Feng;  GAO Fei; LI Xingchai.
Department of Anesthesiology,Fujian Emergency Medical Center,Provincial Clinical Medical College of Fujian Medical University,Fuzhou,Fujian 350001,China
關(guān)鍵詞:
UEscope可視硬質(zhì)喉鏡;  氣管插管
Keywords:
UEscope visible hard laryngoscope;  tracheal intubation
分類號:
R614
文獻(xiàn)標(biāo)志碼:
B
摘要:
目的 觀察UEscope可視硬質(zhì)喉鏡在急診頸椎患者全麻氣管插管中的應(yīng)用情況。方法 對ASAⅠ～Ⅱ級的急診行頸椎減壓內(nèi)固定術(shù)的頸椎病患者26例,根據(jù)使用UEscope可視硬質(zhì)喉鏡插 管時是否提下頜輔助暴露口腔結(jié)構(gòu)隨機(jī)分為兩組各13例,Ⅰ組為提下頜組,Ⅱ組為不提下頜組。 監(jiān)測和觀測患者的體質(zhì)量、Mallampati和ASA分級。記錄麻醉誘導(dǎo)前、氣管插管前、插管后、插 管后1 min患者的血壓(SBP)、心率(HR)和UEscope可視硬質(zhì)喉鏡從置入口腔到完成氣管插管所用 的時間。結(jié)果 Ⅰ組和Ⅱ組插管時間比較差異有統(tǒng)計學(xué)意義(P<0.05)。Ⅰ組和Ⅱ組的 血壓和心率在麻醉誘導(dǎo)前、氣管插管前、氣管插管后、插管后1 min比較的差異均無統(tǒng)計學(xué)意義 (P>0.05)。結(jié)論 兩組患者均能在后頸托固定保持頭頸部不動情況下完成氣管插管。 使用UEscope可視硬質(zhì)喉鏡氣管插管的不同暴露方法對于血壓和心率影響關(guān)系不大。提下頜法的 插管所用時間更短。
Abstract:
Objective To observe the application of UEscope visible hard laryngoscope in cervical patients who received tracheal intubation general anesthesia.Methods Twenty-six cervical spondylosis patients with ASAⅠ-Ⅱ underwent emergency cervical decompression and internal fixation operation were randomly divided into two groups(13 cases in each group)according to whether the jaw was lifted in order to expose the oral structure when using UEscope visible hard laryngoscope to intubate.Group I lifted the jaw when intubating while group Ⅱ did not need to lift the jaw.Blood pressure(BP)and heart rate(HR)were recorded before induction of anesthesia, before tracheal intubation, immediately after intubation, and one minute after intubation.The time taken by the UEscope from moving into the mouth to the completion of the tracheal intubation was also recorded.Results The time for intubation between two groups had significant difference (P<0.05).Blood pressure and heart rate before induction of anesthesia, before tracheal intubation, immediately after intubation, and one minute after intubation between two groups had no significant difference (P>0.05).Conclusion The results of our study emphasise the fact that guided intubation is a visual technique and both groups can complete tracheal intubation under the condition that the cervical bracket is fixed to remain the head and neck stationary.Group I results in less time group Ⅱ to complete the intubation.There is no difference in the hemodynamic response to endotracheal intubation using either jaw lift manoeuvre or without jaw lift.

參考文獻(xiàn)/References:

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備注/Memo

備注/Memo:
基金項(xiàng)目; 國家臨床重點(diǎn)專科建設(shè)項(xiàng)目(2012年急診醫(yī)學(xué)科)
更新日期/Last Update: 2019-02-20