Glide Scope视频喉镜在全麻气管插管中的应用

Clinical application of Glide Scope in tracheal intubation under general anesthesia

目的观察Glide Scope视频喉镜在全麻气管插管中应用的可行性。方法 60例择期手术准备行全麻气管插管患者,ASAⅠ～Ⅱ级,随机分为G组和P组,每组30例,术前处理和麻醉诱导相同。G组采用Glide Scope视频喉镜进行气管插管,P组采用普通直接喉镜进行气管插管。观察两组患者声门显露程度、插管次数、插管时间及手术前(T1)、诱导后(T2)、插管后1min(T3)、3 min(T4)、5 min(T5)的收缩压(SBP)、舒张压(DBP)、心率(HR)和插管操作引起的相关并发症。结果声门显露:G组30例均为1级。P组1级17例,2级7例,3级6例,两者相比差异有显著性(P<0.05)。插管时间:G组为(30±13)s,P组为(26±19)s,两组相比差异无显著性。血流动力学的变化两组无差异,但在T3时P组HR上升与术前(T1)相差异有显著性(P<0.05)。插管引起的相关并发症两组无差异。结论应用Glide Scope视频喉镜气管插管操作简单便捷,声门显露容易清晰,对咽喉部的刺激小,值得在临床推广应用。

Objective To observe the feasibility of Glide Scope in tracheal intubation under general anesthesia.Methods Sixty patients scheduled for selective surgery under general anesthsia were randomly divided into two groups of G（Glide Scope） and P（Macintosh laryngoscope） with 30 cases each.The view of glottic exposure,the times of intubation and intubation time were recorded.HR,SBP and DBP were recorded before operation（T1）,after induction（T2）,1（T3）,3（T4） and 5（T5） min after intubation.The complications during intubation were recorded as well.Results Cormack and Lehane grade 1 of group G and group P was 30 vs 17,grade 2：0 vs 7,grade 3：0 vs 6.Compared with group P,Cormack and Lehane grade was markedly lower in group G（P0.05）.Compared with T1,HR at T3 increased significantly in group P（P0.05）.There was no significant difference in intubation time,hemodynamics change and complications during intubation between the two groups（P0.05）.Conclusion Orotracheal intubation using Glide Scope video laryngoscopes is simple to perform and provides a clear view of glottic.It deserves spreading in clinic.