光索联合直接喉镜在困难气道插管中的应用

Application of treacheal intubation with light wand and laryngoscope in patients with difficult airway

目的探讨光索联合直接喉镜插管技术在困难气道患者气管插管的应用效果。方法困难气道患者63例,分别采用直接喉镜(A组,19例)、光索(B组,21例)和光索联合直接喉镜(C组,23例)实施气管插管。比较三组气管插管时间、插管成功率、插管前后血流动力学变化和相关并发症的发生率。结果C组插管一次成功率为78.26%,高于B组的47.62%和A组的21.05%(P<0.01);C组一次插管时间(14.1±4.3)s,短于B组的(19.1±5.2)s和A组的(42.1±7.1)s(P<0.05或P<0.01)。A组插管引起的并发症多于B、C两组(P<0.05)。结论光索联合直接喉镜气管插管技术用于困难气道患者操作方便,插管成功率高,并发症少。

Objective To study the outcomes of treacheal intubation with light wand and laryngoscope in the patients with difficult airway.Methods Sixty-three patients with difficult airway were randomly divided into three groups and intubated with laryngoscope（group A,19cases）,light wand（group B,21cases）and combined use of laryngoscope and light wand（group C,23cases）.The intubation time,success rate,hemodynamic changes and complications were compared.Results The success rate was higher in group C than that in groups of B and A（78.26% vs.47.62%and 21.05%）（P〈0.01）.The intubation time was shorter in group C than that in groups of B and A[（14.1±4.3）s vs.（19.1±5.2）s and（42.1±7.1）s]（P〈0.05 or P〈0.01）.The intubation-related complications were more in group A than those in groups of B and C（P〈0.05）.Conclusion Treacheal intubation with laryngoscope combined with light wand has the advantages of easier operation,higher success rate,shorter time spent and less intubation-related complications in the patients with difficult airway.