明视喉镜气管插管对全身麻醉患者的麻醉效果及麻醉靶控浓度分析

Intubation laryngoscope photopic impact analysis of the target concentration of anesthesia and anesthetic effects of general anesthesia patients

目的研究明视喉镜对气管插管全身麻醉患者的麻醉效果以及麻醉靶控浓度。方法选取于我院2011年5月~2015年9月进行气管插管全身麻醉的手术患者68例作为对象,根据插管方式的不同将患者分为观察组和对照组,各34例。观察组患者采用明视喉镜气管插管,对照组患者进行传统直接喉镜插管,在对患者进行麻醉的过程中,除异丙酚外的麻醉诱导药物的使用量以及使用方法均相同,采用序贯法测定患者对于异丙酚抑制插管应激反应的半数有效靶控浓度,分析明视喉镜对气管插管全身麻醉患者的麻醉靶控浓度以及患者的麻醉效果。结果观察组患者麻醉前后的心率和平均动脉压与对照组比较,差异无统计学意义（P〉0.05）,观察组患者插管时心率为（83.5±9.1）次/min,平均动脉压为（19.2±2.2）k Pa,对照组患者插管时的心率为（104.5±9.6）次/min,平均动脉压为（26.5±3.4）k Pa,两组比较差异有统计学意义（P〈0.05）。结论明视喉镜在对患者进行气管插管全身麻醉的过程中,患者的麻醉效果良好,血流动力学显示稳定,值得在临床麻醉学中推广应用。

Objective To study the bright laryngoscope for endotracheal intubation and anesthesia anesthesia target concentration of patients for clinical anesthesiology.Methods 68 cases of patients undergoing general anesthesia for surgery between May 2011 to September 2015 in our hospital were selected as an object,depending on the mode of intubation patients were divided into two groups and 34 patients in each group.The observation group were treated by photopic laryngoscope tracheal intubation,the control group was treated with the traditional direct laryngoscopy.In the process of patients with anesthesia,anesthesia in usage of induction drugs and methods of use of propofol were the same,the sequential determination of patients for half effective target propofol inhibit stress reaction controlled concentration analysis,photopic laryngoscope for general anesthesia with tracheal intubation anesthesia and the anesthetic effect of target controlled concentration of patients.Results The heart rate and mean arterial pressure before and after anesthesia of observation group compared with the control group,the difference was not statistically significant（P〉0.05）.The patients in the observation group during intubation for heart rate was（83.5±9.1） /min,the mean arterial pressure was（19.2±2.2） k Pa,patients in the control group during intubation for heart rate was（104.5±9.6） /min,the mean arterial pressure was（26.5±3.4） k Pa,there was significant difference between two groups（P〈0.05）.Conclusion Laryngoscope photopic patient during general anesthesia,the anesthetic effect in patients with good hemodynamic stability display and should be introduced in clinical anesthesiology.