对困难气管插管的患者进行清醒插管的效果评价

To evaluate the effect of awake intubation on patients with difficult tracheal intubation

目的 :分析对困难气管插管的患者进行清醒插管的效果。方法 :对四川省攀枝花市米易县中医医院2015年7月至2017年2月期间接诊的66例发生困难气管插管患者的临床资料进行回顾性分析。将其随机分为清醒插管组(40例)和全麻诱导插管组(20例)。对清醒插管组患者进行清醒气管插管,对全麻诱导插管组患者进行全麻诱导气管插管。然后对比两组患者进行气管插管成功的具体方式、每次进行面罩加压吸氧3min后其SPO_2上升的情况。结果 :清醒插管组患者中进行气管插管成功的方式为经口明视气管插管患者的占比高于全麻诱导插管组患者,P <0.05。清醒插管组患者中每次进行面罩加压吸氧3min后其SPO_2上升的最大值为95%～100%患者的占比高于全麻诱导插管组患者,P <0.05。结论 :对发生困难气管插管的患者进行清醒插管的效果较好。

objective: to analyze the effects of sober intubation on patients with difficult tracheal intubation. Methods: retrospective analysis was performed on the clinical data of 66 patients with tracheal intubation who received treatment from July 2015 to February 2017 in miyi county of panzhihua city, sichuan province. It was randomly divided into sober intubation group（40 cases） and general anesthesia induction intubation group（20 cases）. Patients in the sober intubation group were intubated with the sober endotracheal intubation, and patients in the general anesthesia induction intubation group were intubated with the general anesthesia induction tracheal intubation. Then, the specific method of endotracheal intubation was compared between the two groups, and the SPO2 was elevated after 3 min each time the mask was pressurized and inhaled oxygen. Results: the proportion of patients with tracheal intubation was higher in the awake intubation group than in the general anesthesia induction group, P < 0.05. The maximum increase in SPO2 of patients in the awake intubation group was 95% ～ 100% after each mask pressurized oxygen inhalation for 3 min, higher than that of patients in the general anesthesia induction intubation group, P < 0.05. Conclusion: the effect of awake intubation was better in patients with difficult tracheal intubation.