可视喉镜与传统喉镜快速建立气道在心脏骤停需高级生命支持治疗患者中的效果比较

Comparison of the effect of fast airway establishment by Glidescope and laryngendoscope in the treatment of sudden cardiac arrest patients with advanced life support

目的:比较可视喉镜与传统喉镜快速建立气道在心脏骤停患者高级生命支持治疗中的效果。方法:选取安徽医科大学第二附属医院急诊内科和EICU(急诊重症监护病房)2012-03-2016-03心脏骤停需高级生命支持行气管插管患者78例,按入院时间分为普通喉镜组(A组)及可视喉镜组(B组),观察2组患者暴露声门时间、插管总时间、插管次数、指尖血氧饱和度的变化及插管成功率、牙齿和气道的损伤率。结果:A组和B组患者在插管成功率和指尖血氧饱和度的变化的比较上差异无统计学意义。而在暴露声门时间、插管总时间、插管总次数、牙齿和气道的损伤率的比较上,B组患者较A组患者显著下降(P<0.05)。结论:在临床上,可视喉镜与普通喉镜相比,插管成功率未见明显提升,但是可快速建立有效气道,缩短插管时间,且牙齿及气道的损伤率有所下降,值得推广。

Objective：To compare the effect of fast airway establishment by Glidescope and laryngendoscope in the treatment of sudden cardiac arrest patients with advanced life support.Method：Seventy-eight patients were selected who demanded advanced life support undergoing tracheal intubation in Emergency Department and Emergency Intensive care unit of the Second hospital of Anhui Medical University in March 2012 to March 2016.They were divided into laryngoscope group（group A）and Glidescope group（group B）.Observe the glottic exposure time,the total intubation time,intubation times,the success rate,changes of blood oxygen saturation and injury rate of teeth and airway of patients of two groups.Result：The success rate of intubation and changes of blood oxygen saturation between the two groups have no statistical significance,yet the glottis exposure time,intubation time,intubation times,and the injury rate of teeth and airway of group B were significantly decreased than those of group A（P〈0.05）.Conclusion：Compared to laryngoscope,Glidescope can not significantly improve the success rate of intubation,but can effectively establish airway,shorten the duration of intubation,and e injury rate of teeth and airway.So it should be promoted.