光纤引导技术在快速建立人工气道中的应用

The Application of Light Wand in Emergency Nasotracheal Intubation

目的探讨光纤引导技术在紧急情况下快速建立人工气道的有效方法,评价光纤引导技术在快速建立人工气道方面的临床应用价值。方法回顾分析2009年1月～12月在我院急诊科紧急建立人工气道的所有患者(共60例),并分为光导组(n=30),常规盲插组(n=30)比较2组患者建立人工气道的时间、成功率及相关并发症发生率。结果光导组及常规盲插组建立人工气道的时间有显著差异性(29.1±4.8)svs(41.8±9.9)s,P<0.01,光导组减少相关并发症(6.7%vs20%,P<0.05)方面显著优于常规组。2组插管成功率(90%vs83.3%,P>0.05)无显著统计学差异。结论光纤引导技术应用于快速建立人工气道具有操作迅速,相关并发症少,成功率亦高的优点,有较高的临床应用价值。

Objective To determine the clinical utility and effectiveness of light wand in emergency airway management of nasotracheal intubation.Methods We retrospective study 60 subjects（experimental group：30 subjects were performed light-guided intubation,30 controls were performed bland nasotracheal intubation）,in the emergency Dept.from January 2009 to December 2009.The time-consuming,success rate and complication data was recorded.Results The light-guided intubation group was significantly consumed less time for nasotracheal intubation compared with the controls（light-guided intubation group：（29.1±4.8）svs.controls（41.8±9.9）s,P〈0.01）;There were lower complication rate（light-guided intubation group：6.7%vs.controls：20%,P〈0.05）and higher success rate（light-guided intubation group：90%vs.controls：83.3%,,P〈0.05） in light-guided intubation group.Conclusion Light-guided intubation has been proven to be an effective,safe,and simple technique.