摘要
目的:评价GlideScope视频喉镜在全麻气管插管中的应用价值。方法:选择60例ASA分级为I或Ⅱ级、接受上腹部手术并施行静吸复合麻醉的患者。其中GlideScope视频喉镜(GS组)采用改良方法气管插管和Shucman直接喉镜(SM组)采用普通方法进行气管插管,每组各30例。比较2组患者全麻插管不同时间点的有创血压(ABP)和心率(HR),并比较2组气管插管各时间段、持续上提咽喉镜片时间。结果:与GS组比较,SM组患者ABP和HR的增加程度较为显著(P<0.05),且恢复较慢。GS组插管时间长于SM组(P<0.05),其声门暴露较好(P<0.05)。结论:全身麻醉气管插管过程中,与普通Shucman直接喉镜气管插管相比,GlideScope视频喉镜改良方法气管插管能提高声门暴露的程度,操作时患者心血管反应较小,但整体气管插管时间无明显差异。
Objective：To evaluate the application of GlideScope video laryngoscope in tracheal intubation in combined intravenous an -esthesia.Methods：60 patients of ASA grade I or II who received operation with tracheal intubation in combined intravenous anesthesia were selected.GlideScope video laryngoscope were used in 30 patients （group A）, Shucman laryngoscope were used in the others （group B）.Sereval parameters, such as ABP,HR,time of intubation and lifting laryngoscopic lens , were compared.Results：ABP and HR in-creased more significantly and recovered more slowly in group B .Intubation time was longer in group A .The exposure of glottis were better in group A.Conclusion：Compared with Shucman laryngoscope , the use of GlideScope video laryngoscope could get better exposure of glot -tis with lower cardiovascular adverse reaction , but the whole intubation time was the same .
出处
《中国伤残医学》
2014年第8期5-7,共3页
Chinese Journal of Trauma and Disability Medicine
