“清醒”与静脉麻醉诱导状态光棒引导气管插管运用于困难气道的比较

Comparison of Lightwand Guided Tracheal Intubation in Difficult Airway between Waking State and Intravenous Anesthesia Induced State

目的:比较"清醒"与静脉麻醉诱导状态光棒引导气管插管运用于困难气道的效果。方法:将78例困难气道患者随机分为清醒组和静脉麻醉诱导组,比较两组患者围术期生命体征的变化、气管导管插管时间及术毕气管导管拔管1 h后咽喉部并发症情况。结果:与气管插管前相比,静脉麻醉诱导患者插入气管导管后和拔除气管导管前血压、心率均显著上升(P<0.05或P<0.01);与清醒组同阶段相比,差异也有统计学意义(P<0.05或P<0.01)。与静脉麻醉诱导组比较,清醒组患者插入气管导管所用时间明显缩短(P<0.01),且术后24 h麻醉满意度明显提高(P<0.05)。结论:与静脉麻醉诱导相比,"清醒"状态光棒引导气管插管运用于困难气道患者更具有优越性。

Objective： To compare the effect of lightwand guided tracheal intubation in difficult airway between waking state and intravenous anesthesia induced state. Methods： According to the random number table, 78 cases of difficult airway patients were divided equally into waking group and intravenous anesthesia induction group. The changes of vital signs, the time of tracheal intubation and the extubation complications after 1 h were compared between the groups. Results： Compared with the corresponding values of the waking group, the blood pressure and heart rate before and after the tracheal intubation significantly increased in the intravenous anes- thesia induction group （P 〈 0.05 or P 〈 0.01 ）. In tile same group, the blood pressure and heart rate increased significantly after the tracheal intubation when compared with those before the treatment （P 〈 0.05 or P 〈 0.01 ）. Compared with that in the intravenous an- esthesia induction group, the time of tracheal intubation was significantly shorter in the waking group （P 〈 0.01 ）, and the 24h postop- erative anesthesia satisfaction was improved significantly （ P 〈 0.05 ）. Conclusion： Compared with intravenous anesthesia induction, waking lightwand guided tracheal intubation in the patients with difficult airway has more advantages.