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Airtraq视频喉镜与Macintosh直接喉镜应用于颈椎手术患者显露喉部结构的比较

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摘要 目的:在颈椎手术患者中,比较Airtraq视频喉镜与Macintosh直接喉镜实施经口气管插管时对喉部结构的显露情况。方法:48例颈椎手术患者,随机分为Airtraq视频喉镜组(A组)和Macintosh直接喉镜组(M组),每组24例。麻醉诱导后分别使用Airtraq视频喉镜和Macintosh直接喉镜显露声门并记录Cormack-Lehane(C/L)分级,再行气管插管。观察指标包括患者术前一般情况及气道评估指标(体质指数、甲颏间距、张口度和Mallampati分级),C/L分级,插管时间、插管次数和术后插管并发症。结果:A、M两组间比较,两组患者术前一般情况及气道评估指标、插管时间均差异无显著性(P>0.05),A组24例患者均一次插管成功,C/L分级:Ⅰ级为22例,Ⅱ级为2例;M组20例患者一次插管成功,4例患者第二次插管成功。C/L分级:Ⅰ级为8例,Ⅱ级为12例,Ⅲ级为4例。Airtraq视频喉镜C/L分级显著优于Macintosh直接喉镜(P<0.05)。结论:Airtraq视频喉镜对颈椎手术患者喉部结构的显露优于Macintosh直接喉镜。
出处 《实用医学杂志》 CAS 北大核心 2010年第4期597-599,共3页 The Journal of Practical Medicine
关键词 喉镜 颈椎疾病
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参考文献8

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