Abstract：ObjectiveTo explore the application effect of Dexmedetomidine combined with Disposcope endoscopic in elderly patients with general anesthesia endotracheal intubation.Methods80 cases of elderly patients with general anesthesia surgery in our hospital from January 2013 to December 2015 were selected and divided into the control group and the observation group by taking the digital random tablemethod,each group had 40 cases.In the operation,the control group was used direct laryngoscope in combination with sodium chloride injection,the observation group was used Dexmedetomidine combined with Disposcope endoscope.The change of the average arterial pressure and heart rate before and after intubation were compared between the two groups,and intubation time,recovery time,extubation time, once success rate of intubation and the incidence rate of pharyngeal discomfortwere compared between the two groups.ResultsThe heart rate of the control group after intubation was faster than that before intubation,and themean arterial pressure of the control group after intubation was higher than that before intubation,with significant difference(P＜0.05). Therewas no significant difference in the heart rate and average arterial pressure after and before intubation in the observation group (P＞0.05).The heart rate of the observation group after intubation was slower than that of the control group,and themean arterial pressure of the observation group after intubation was lower than that of the control group, with significant difference (P＜0.05).The intubation time,recovery time,extubation time in the observation group was shorter than that in the control group,with significant difference(P＜0.05).The success rate of intubation in the observation group was 100%,which was higher than 80%in the control group,with significant difference (P＜0.05).The incidence rate of pharyngeal discomfort in the observation group was 10%,which was lower than 28%in the control group, with significant difference (P＜0.05).ConclusionIn elderly patientswith tracheal intubation anesthesia surgery process, using the Dexmedetomidine combined with Disposcope endoscope can be effective to remain stable vital signs in the process of operation,facilitate the smooth progress of the intubation.
El-Tahan MR，Doyle DJ，Khidr AM，et al.Use of the King VisionTMvideo laryngoscope to facilitate fibreoptic intubation in critical tracheal stenosis proves superior to the GlideScope[J].Can JAnesth，2014，61（2）：213-214.
Saricicek V，Mizrak A，Gul R，et al.GlideScope video laryngoscopy use tracheal intubation in patients with ankylosing spondylitis：a series of four cases and literature review[J].J Clin Monit Comput，2014，28（2）：169-172.
京公网安备 11010502046607号