可视喉镜与直接喉镜在肥胖患者气管插管中的应用效果比较

Abstract
Figure/Table
References (17)
Related Citation (15)

Download: PDF (0 KB) HTML (32 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the effect of visual laryngoscopy and direct laryngoscopy in endotracheal intubation of obese patients.Methods Fifty-six obese patients who underwent elective oral intubation general anesthesia in the Department of Anesthesiology,Yangjiang Hospital of Traditional Chinese Medicine from May 2020 to April 2021 were selected as the research subjects.According to the odd and even numbers of admission order,they were divided into direct laryngoscopy group (28 cases)and visual laryngoscopy group (28 cases).Cormark-Lehane endoscopic grading(C-L grading),number of trial insertion,success rate of endotracheal intubation,success rate of one-time endotracheal intubation,time of endotracheal intubation and incidence of complications were compared between the two groups.Results The CL classification of the visual laryngoscopy group was better than that of the direct laryngoscopy group,and the difference was statistically significant(P＜0.05).The number of attempts in the visual laryngoscopy group was less than that of the direct laryngoscopy group,and the success rate of one-time tracheal intubation was higher than that of the direct laryngoscopy group,in the visual laryngoscopy group,the tracheal intubation time was shorter than that in the direct laryngoscopy group,the differences were statistically significant(P＜0.05).There was no significant difference in the success rate of endotracheal intubation between the two groups (P＞0.05).The total incidence of complications in the visual laryngoscopy group was lower than that of the direct laryngoscopy group,and the difference was statistically significant(P＜0.05).Conclusion Visual laryngoscope has obvious advantages compared with direct laryngoscope in tracheal intubation of obese patients.It has obvious glottis exposure,few attempts,high success rate of one-time endotracheal intubation,short endotracheal intubation time,and low incidence of complications,which is worthy of application and promotion.

Key words： Visual laryngoscope Direct laryngoscope Obesity Intubation General anesthesia Cormark-Lehane classification

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	HONG Fei-cen
	ZHANG Si-lai
	TANG Bo

Cite this article:

HONG Fei-cen,ZHANG Si-lai,TANG Bo. Effect comparison of the visual laryngoscope and direct laryngoscope in tracheal intubation of obese patients[J]. 中国当代医药, 2021, 28(31): 122-124转128.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I31/122

[1]	甄汉华，黄美顺，邓艳云.可视喉镜与纤维支气管镜在困难气管插管中的应用比较[J].中国医药科学，2019，9（13）：218-220.
[2]	陈聪，郑贯峥，冷玉芳，等.纤维支气管镜和直接喉镜经鼻气管插管对血流动力学反应影响的Meta分析[J].保健医学研究与实践，2015，12（4）：27-32.
[3]	薛照静，李歆跃，张愿，等.可视喉镜与可视硬管芯喉镜用于肥胖患者经口气管插管效果分析[J].中华实用诊断与治疗杂志，2020，34（10）：1043-1045.
[4]	马鑫，夏一梦，范秋维.UE可视喉镜联合视可尼喉镜在肥胖患者气管插管中的应用[J].上海交通大学学报（医学版），2021，41（1）：70-73.
[5]	翁勤，陈肖敏，张骏，等.可视防护喉镜的研发及在咽拭子采样中的应用[J].护理与康复，2021，20（3）：99-100.
[6]	胡洁，白洁.ASA-PS分级及其他术前评估系统在儿科麻醉实践中的争鸣[J].国际麻醉学与复苏杂志，2020，41（10）：986-990.
[7]	卢增停，何绮桃，涂泽华，等.国产明视插管软镜与Macintosh直接喉镜经鼻气管插管的比较[J].中国内镜杂志，2018，24（4）：17-22.
[8]	代元大，洪秀云，姚静，等.不同水平呼气末正压通气对肥胖患者围术期呼吸功能的影响[J].临床麻醉学杂志，2021，37（3）：247-252.
[9]	陈逸斐，何安东，李雅兰.合并OSAHS、重度PH的病态肥胖Prader-Willi综合征患儿腹腔镜减重手术麻醉管理1例[J].中华肥胖与代谢病电子杂志，2020，6（4）：276-280.
[10]	靳丽敏，张艳兵.七氟醚与丙泊酚麻醉对肥胖患者腹腔镜胆囊切除术应激反应以及血流动力学的效果[J].实用中西医结合临床，2020，20（16）：111-112，150.
[11]	胡超民，夏森林，许岚，等.可视喉镜辅助鼻胃管置入术在气管插管超重及肥胖患者中的临床应用[J].浙江临床医学，2021，23（3）：363-364.
[12]	冯辉，潘龙飞，樊媛，等.HC可视喉镜在急诊肥胖患者紧急气管插管时的应用[J].中华急诊医学杂志，2019，28（1）：75-78.
[13]	樊素雄，王彦，胡大伟.应用视频喉镜与直接喉镜气管插管对血流动力学的影响[J].中国医药指南，2018，16（26）：181-182.
[14]	王环，汤淑芹，郑龙祥，等.Glidescope视频喉镜与Macintosh直接喉镜在全身麻醉气管插管中应用效果比较[J].临床军医杂志，2021，49（05）：564-566.
[15]	林岳阳.可视喉镜下行气管插管对老年全麻手术患者的血流动力学与插管相关指标及并发症影响[J].中国医学创新，2020，17（2）：30-33.
[16]	胡丽君，侯百灵，孙玉娥，等.可视软性喉镜与光棒在颈椎损伤手术患者全身麻醉气管插管中的应用效果比较[J].现代生物医学进展，2020，20（8）：1575-1578.
[17]	许锦雄，卢增停，何绮桃.国产明视插管软镜联合可视喉镜在声门暴露困难病人双腔支气管导管插管中的临床应用[J].安徽医药，2020，24（9）：1779-1783.