可视喉镜在全身麻醉气管插管中的临床应用体会

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Abstract ObjectiveTo evaluate the application effect of visual laryngoscope in tracheal intubation after general anesthesia.Methods105 patients underwent tracheal intubation after general anesthesia treated in our hospital from July 2016 to July 2017 were selected and they they were divided into the control group and research group by drawing lots.In the research group(n=53),visual laryngoscope was applied for tracheal intubation,while in the control group(n=52),direct laryngoscope for tracheal intubation was used.The time of tracheal intubation and glottis exposure,and change of hemodynamics were compared between the two groups.ResultsThe time of tracheal intubation and glottal exposure in the study group[(9.65±1.21)s and(4.74±0.87)s respectively]was significantly shorter than that in the control group,and there was a statistical difference between groups(P＜0.05).The success rate of tracheal intubation at one time in the study group was 92.45%,which was higher than that in the control group (73.08%),and the incidence rate of complications in the study group was 3.77%,which was significantly lower than that in the control group(19.23%),and there was a statistical difference between groups(P＜0.05).During intubation,the heart rate and average arterial pressure was(75.60±8.97)times per minute and(97.46±8.97)mmHg respectively in the study group,which was significantly lower than that in the control group respectively[(90.84±10.58)times/min,(110.30±10.21)mmHg],and there was a statistical difference between groups(P＜0.05).There was no statistical difference of heart rate and average arterial pressure in patients between the two groups before induction and after 5 minutes intubation(P＞0.05).ConclusionVisual laryngoscope applied in tracheal intubation after general anesthesia obtains a great application effect and can effectively increase the success rate of tracheal intubation at one time,reduce the occurrence of various complications,and shorten the time of tracheal intubation and glottis exposure at the same time,and have mild impact on hemodynamics of patients.It is worthy of promotion.

Key words： Visible laryngoscope Tracheal intubation after general anesthesia Application effect

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	ZHOU Chang-yuan

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ZHOU Chang-yuan. Clinical application experience of visual laryngoscope in tracheal intubation after general anesthesia[J]. 中国当代医药, 2017, 24(29): 106-108.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I29/106

[1]	刘红，赵国栋，龙瑞春，等.Shikani可视喉镜对老年患者气管插管时应激反应的影响[J].广东医学，2013，34（14）：2180－2182.
[2]	张灿华，钱金桥.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[J].昆明医科大学学报，2016，37（9）：76－79.
[3]	顾娟娟，傅强，米卫东，等.Airtraq可视喉镜在困难气道全麻患者气管插管中的应用[J].山东医药，2014，54（42）：32－34.
[4]	张传骧.两种视频喉镜与直接喉镜在气管插管中临床应用[J].安徽医学，2013，34（7）：900－903.
[5]	张洲，刘奕.视宁康可视喉镜在困难气道气管插管中的临床应用[J].重庆医学，2015，44（23）：3268－3270.
[6]	张利权.视可尼可视喉镜在全麻困难气管插管中的应用研究[J].现代中西医结合杂志，2013，22（26）：2937－2939.
[7]	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.
[8]	沈黎红，赵斌江，关雷，等.Shikani可视喉镜与 McCoy喉镜用于老年患者全身麻醉气管插管的比较研究[J].中国内镜杂志，2017，23（3）：20－24.
[9]	何伟，李建桥，原庆会，等.HC可视喉镜联合纤维光导支气管镜引导用于老年患者全身麻醉气管插管的临床研究[J].中国医学装备，2016，13（8）：63－66.
[10]	林大勇.地塞米松联合可视喉镜在气管插管中的应用[J].四川医学，2013，34（7）：961－962.
[11]	吴荣惠，朱剑群，李小娟.可视喉镜下气管导管引导经鼻胃管置入的应用体会[J].实用医学杂志，2013，29（8）：1377.
[12]	卢增停，张康聪，涂泽华，等.明视插管软镜与可视喉镜在肥胖患者气管插管中的比较[J].中国内镜杂志，2017，23（5）：39－43.
[13]	张文军，徐智会，周先平，等.可视喉镜在严重创伤患者早期气管插管中的临床应用[J].现代医学，2016，44（7）：922－925.
[14]	黄攀，杜耘，曹宇，等.Airtraq光学可视喉镜在急诊手术中的运用[J].重庆医学，2013，42（25）：3036－3037.
[15]	谢林碧，王敏，彭丹丹，等.Airtraq可视喉镜在急诊手术清醒气管插管术中的临床应用[J].临床和实验医学杂志，2014，20（13）：1065－1067.