光学窥喉镜联合纤维支气管镜在颈椎损伤患者气管插管术中的应用

Application of Airtraq~ Optical Laryngoscope Combined with Bronchofibroscope for Endotracheal Intubation in Patients with Cervical Spine Injury

目的探讨光学窥喉镜联合纤维支气管镜在颈椎损伤患者气管插管术中应用的可行性。方法选择50例拟在静脉麻醉联合吸入麻醉下行颈椎手术的患者,随机分成使用光学窥喉镜气管插管组(A组)和光学窥喉镜联合纤维支气管镜气管插管组(AF组)。观察两组插管时间、一次插管成功率、插管期间血流动力学改变及插管相关并发症情况。结果 A组插管时间显著长于AF组(P<0.001)。A组一次插管成功率低于AF组(P<0.05)。两组在气管插管期间血流动力学改变及插管相关并发症方面无显著性差异(P>0.05)。结论光学窥喉镜联合纤维支气管镜可安全、有效地应用于颈椎损伤患者气管插管术中。

Objective To explore the application of Airtraq optical laryngoscope combined with bronchofibroscope for endotracheal in- tubation （EI） in patients with cervical spine injury （CSI）, Methods 50 patients with CSI undergoing spine surgery under combined general anesthesia were randomly assigned to two groups, group A （n=25） received EI by using Airtraq optical laryngoscope and group AF （n=25） received EI by using Airtraq~ optical laryngoscope combined with bronchofibroscope. The intubation time （IT）, success rate of single intuba- tion （SRSI）, hemodynamic changes in endotracheal intubation, and complications related to EI were observed. Results IT was significantly longer in group A than in group AF （P〈0.001）, and SRSI was significantly lower than in group A in group AF （P〈0.05）. There was no signif- icant difference in hemodynamic changes in EI and complications related to EI between two groups （P〉0.05）. Conclusion Airtraq optical laryngoscope combined with bronchofibroscope would be safely and effectively used for EI in patients with CSI.