国产UE可视喉镜在阻塞性睡眠呼吸暂停综合征患者行非鼾症手术中的应用

Application of domestic UE laryngoscope in patients with obstructive sleep apnea hypopnea syndrome

目的探究阻塞性睡眠呼吸暂停综合征(OSAS)患者行非鼾症手术中运用可视喉镜经口气管插管的效果。方法将中重度OSAS患者80例随机分为两组,每组40例,A组行普通喉镜气管插管(选用德国KAWEI喉镜),B组行可视喉镜气管插管(选用国产UE可视喉镜)。观察并分析两组气管插管时收缩压(SBP)、心率(HR)及脉搏血氧饱和度(Sp O2)、插管次数、插管时间,以及并发症的发生情况。结果两组插管难度比较,差异无统计学意义(P>0.05);B组插管时间、插管次数及声门暴露分级均明显低于A组,差异均有统计学意义(P<0.05);B组插管后的HR、SBP明显低于A组,Sp O2明显高于A组,差异均有统计学意义(P<0.05);B组的牙齿、牙龈损伤及咽喉疼痛发生率均明显低于A组,差异均有统计学意义(P<0.05)。结论 OSAS患者行气管插管时选用可视喉镜不仅易于操作,而且具有损伤小、血流动力学相对稳定等特点,可作为临床OSAS患者行非鼾症手术中较好的插管工具。

Objective To explore the obstructive sleep apnea syndrome（OSAS） patients with non snoring surgery using visual laryngoscope tracheal intubation. Methods 80 cases of patients with severe OSAS were randomly divided into group A and group B. Group A underwent ordinary laryngoscope intubation（n=40,KAWEI,B laryngoscope used in Germany）,and group B underwent video laryngoscope intubation（n=40,made by UE video laryngoscope）. The difference of HR,SBP and SpO_2 intubation time,intubation times,and complications of two methods for tracheal intubation were observed. Results There was no statistically significant difference of two groups of intubation difficulty（P〈0.05）.For group B,intubation time,intubation times,glottic exposure were significantly lower than those of group A（P〈0.05）.For group B,HR and SBP were significantly lower than those of group A,and SpO_2 was significantly higher than that of group A（P〈0.05）.Teeth,gingival damage and throat pain incidence of group B were significantly lower than those of group A（P〈0.05）. Conclusion Using video laryngoscope is beneficial to OSAS patients during endotracheal intubation,including easy to operate,less damage,and relatively stable characteristics of hemodynamics. Therefore,video laryngoscope should be a good tool for clinical OSAS patients.