困难气管插管两种插管方法67例临床分析被引量：1

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摘要目的:①探索方便、简单、可靠Cormack及LehaneⅢ、Ⅳ级困难气管插管的方法;②抑制气管插管所引起心血管反应,维持循环功能稳定。方法:选择Cor-mack及LehaneⅢ,Ⅳ级气管插管全身麻醉患者67例,年龄17～65岁,ASAⅠ、Ⅱ级,随机分为:TCI组,37例,丙泊酚、舒芬太尼血浆、效应室靶控诱导,铲"L"状气管导管插管;AA组,30例,丙泊酚、芬太尼人工诱导,鱼钩"C"状气管导管插管;观察:插管成功率对比,插管后心血管反应心率、平均动脉压。结果:①铲"L"状气管导管插管明显优于鱼钩"C"状气管导管插管方法,P<0.05;②TCI组有效抑制气管插管所引起心血管反应优于AA组,P<0.01。结论:铲状"L"气管导管插管方法方便、简单、可靠,适应范围广;丙泊酚、舒芬太尼靶控输注诱导有效抑制气管插管所引起心血管反应,循环功能稳定。

作者张三虎贾新安

机构地区河南科技大学第一附属医院科

出处《中国社区医师（医学专业）》 2007年第20期33-33,共1页

关键词 TCI全身麻醉困难插管心血管反应

分类号 R614.2 [医药卫生—麻醉学]

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1陈兴东,史正山,林宁,周志强,段满林,徐建国.舒芬太尼和芬太尼麻醉对患者气管插管时心血管反应的影响[J].临床麻醉学杂志,2006,22(8):614-615. 被引量：49
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