观察视可尼可视喉镜在手术室外急救插管中的临床应用效果

This study was to investigate the effect and clinical significance when Shikani Optical Stylet was applied in first aid intubation outside operating room

目的:观察视可尼可视喉镜在手术室外急救插管中临床意义和应用效果。方法:选取我院手术室外急救插管患者113例为研究对象,按随机原则分为A、B组,A组为观察组(57例),B组为对照组(56例)。A组使用视可尼气管插管,B组使用常规气管插管方法。记录2组插管医生插管所在的位置,患者插管时的体位;记录2组气管插管从医生到位到插管成功耗时情况;记录2组患者插管次数、成功率情况;记录2组患者气管插管并发症情况。结果:观察组医生插管时需要的位置更灵活,不需要患者保持嗅花位,只要张口度满足气管套囊越过声门即能顺利插管,较传统气管插管方法准备更简便,插管耗时更短(P<0.05),一次成功率(P<0.05)和总成功率(P<0.05)均高,并发症发生率低(P<0.05)。结论:视可尼可视喉镜较传统急救插管方法需要的时间短、创伤小,简单有效,更适合手术室外急救插管,值得推广。

Objective：This study was to investigate the effect and clinical significance when Shikani Optical Stylet was applied in first aid intubation outside operating room.Method：One hundred and thirteen patients who received first aid intubation outside operating room of our hospital were divided into Group A（57patients）as the experiment group and B（56patients）as the control group.Shikani Optical Stylet was employed in Group A while conventional method of tracheal intubation was used in Group B.The physical position of intubation,the body position of patients,the duration,number of intubation times,success rate and the complications during intubation were all recorded for both groups.Result：The intubation position was more flexible to doctors with Shikani Optical Stylet than with the conventional intubation method,since the boyce position for the patients was not required and the intubation would succeed as long as the mouth opening is sufficient to enable the tracheal tampon pass through the glottis.Compared to conventional intubation method,Shikani Optical Stylet method eased the intubation process,shortened the time of intubation（P〈0.05）and increased both success rate for single intubation（P〈0.05）and total success rate（P〈0.05）and low complications（P〈0.05）.Conclusion：Compared with traditional intubation methods,Shikani Optical Stylet method allowed faster,simpler and more effective intubation.It also facilitated minimizing the airway injuries.Hence,it is more suitable for first aid intubation outside operating room and worth promoting.