可视喉镜联合纤维支气管镜引导在困难气管插管中的应用价值分析

Abstract
Figure/Table
References (15)
Related Citation (14)

Download: PDF (0 KB) HTML (39 KB)
Export: BibTeX | EndNote (RIS)

Abstract ObjectiveTo analyze the clinical application value of tracheal intubation by visual laryngoscopy combined with fiberoptic bronchoscopy in intubation with difficult airway.Methods82 patients with difficult airway who were treated in our hospital from September 2014 to September 2016 were selected and randomly divieded into observation group and control group,41 cases in each group.The observation group was intubated by visual laryngoscopy combined with fiberoptic bronchoscopy while the control group was intubated by visual laryngoscopy.The one-time success rate, the time of intubation and the complication rate between two groups were compared,the change of the vital signs before and after intubation were observed.ResultsThe difference of the MAP,HR and SpO2before and 3 minutes after intubation were no significant differenecs in both groups(P＞0.05),the changes of MAP,HR and SpO2between two groups had no statisticant differences(P＞0.05).The time of intubation in observation group was significantly lower than that of control group（t=46.0993，P＜0.01）;the one-time success rate of observation group was 95.12%,which was significantly higher than that of control group of 80.49%（χ2=4.1000，P＜0.05）.The complication rate in observation group was 9.76%, which was significantly lower than that of control group of 31.71%（χ2=6.0109，P＜0.05）.ConclusionThe applicaiton of tracheal intubation by visual laryngoscopy combined with fiberoptic bronchoscopy in difficult airway can significantly enhance the success rate and reduce compllication in intubation with difficult airway.

Key words： Visual laryngoscopy Fiberoptic bronchoscopy Difficult airway Tracheal intubation

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	CHEN Hong-wu
	CHEN Lin-li
	JIANG Feng-yan

Cite this article:

CHEN Hong-wu,CHEN Lin-li,JIANG Feng-yan. Analysis of the clinical application value of tracheal intubation by visual laryngoscopy combined with fiberoptic bronchoscopy in intubation with difficult airway[J]. 中国当代医药, 2016, 23(36): 99-101.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2016/V23/I36/99

[2]	郝景宇，赵尤美.可视喉镜联合纤维支气管镜引导气管插管在困难气道患者中的应用[J].河北医科大学学报，2013，34（4）：472-473.
[3]	王玉怜，邱郁群，黄梅，等.HC可视喉镜在全身麻醉气管插管的应用[J].中国医药科学，2015，5（10）：84-87.
[4]	赵国胜，安洁.HC可视喉镜联合纤维光导支气管镜引导全身麻醉气管插管的临床效果观察[J].中国内镜杂志，2014，20（7）：772-774.
[5]	李洪晓，吴细英.纤维支气管镜下经鼻气管插管的临床应用价值探讨[J].中国当代医药，2015，22（16）：22-24.
[1]	陈顺富，陈雷，陈栋梁.可视喉镜联合纤维支气管镜在困难气道中的应用[J].浙江临床医学，2016，18（3）：565-566.
[6]	赵志丹．探讨Glide Scope视频喉镜在临床麻醉中行气管插管的可行性[J].首都医科大学学报，2011，32（2）：287-289.
[7]	郝景宇，赵尤美，林康，等.可视喉镜联合纤维支气管镜行气管插管在60例颈椎骨折手术中的应用[J].第三军医大学学报，2014，36（13）：1437-1348.
[8]	何荷番，刘炜烽，翁培清，等.颈椎手术患者采用Glide Scope视频喉镜辅助纤维支气管镜引导经鼻气管插管临床研究[J].福建医科大学学报，2011，45（3）：221-224．
[9]	冷丽红.可视喉镜在全麻气管插管中的临床观察[J].中国当代医药，2013，20（24）：103-105.
[10]	陈丽安，陈骏萍，戚剑敏.ShiKani可视喉镜在烧伤患者困难气道插管中的应用[J].现代实用医学，2011，23（7）：755-756.
[11]	张月娟，吴长毅，郭向阳.可视化技术在困难气道处理中的应用进展[J].中国微创外科杂志，2013，13（2）：187-188，192．
[12]	张强，张亚建.视可尼喉镜与腔镜系统组合在困难气道处理中的应用[J].黑龙江医学，2011，24（1）：123-124.
[13]	薛富善，王强，程怡.视频喉镜在气道管理中应用的现况[J].国际麻醉学与复苏杂志，2012，33（12）：795-797，818．
[14]	于布为，吴新民，左明章，等.困难气道管理指南[J].临床麻醉学杂志，2013，29（1）：93-98．
[15]	方存贵，万宗明，陈美银，等.纤维支气管镜引导下困难气管插管的临床应用[J].临床麻醉学杂志，2011，27（9）：929.