电子支气管镜在难置性胃管置入术中的临床效果观察

Observation on the clinical efficacy of electronic bronchoscope in difficult cases of gastric intubation

目的探讨电子支气管镜在难置性胃管置入术中的临床效果。方法选取2016年3月至2017年3月我院收治的胃管置入困难患者160例,所有患者应用电子支气管镜行胃管置入术,观察术前、术中、术后患者的血压、心率、呼吸频率及血氧饱和度变化情况并进行比较。结果 160例患者在电子支气管镜明视下行胃管置入术一次性成功134例,未一次性成功继而在电子支气管镜引导下行胃管置入术后成功26例,术中血压、心率、呼吸频率、血氧饱和度与术前相比变化明显,差异具有统计学意义(P<0.05),术后各项比较指标均下降,与术前相比差异无统计学意义(P>0.05)。结论对于难置性胃管置入患者,电子支气管镜下行胃管置入术一次性置入成功率高,安全性好,无明显并发症,值得临床广泛推广应用。

Objective To investigate the clinical efficacy of electronic bronchoscope in difficult cases of gastric intubation. Methods One hundred and sixty patients who were hospitalized from March, 2016 to March, 2017 due to difficulty in routine naso-gastric intubation were selected as research subjects. During treatment, all the patients received gastric intubation by electronic broncho-scope. Blood pressure, heart rate, respiration rate and blood oxygen saturation were closely observed before, during and after intubation and the obtained data were compared between them. Results Of the 160 patients with gastric intubation under electronic bronchoscope, 134 patients had first-try success, and 26 patients failed in first-try intubation and resorted to electronic bronchoscope-guided gastric in-tubation. Obvious changes in blood pressure, heart rate, respiratory rate, blood oxygen saturation could be observed during intubation, as compared with those before intubation, and statistical significance could be noted, when comparisons were made between them（P 〈 0.05）. Various data after intubation were all decreased, as compared with those before intubation, and there was no statistical signifi-cance, as compared with those before intubation（P 〉0.05） . Conclusion For those patients with refractory gastric intubation, gastric intubation under electronic bronchoscope could achieve high first-try success rate, with good safety and no obvious complications, which was worth further clinical extension.