声诺维灌注套囊超声判断气管插管位置

SonoVue perfusion balloon ultrasonic examination in evaluation of endotracheal intubation position

目的探讨以声诺维灌注气囊超声判断气管插管位置的价值。方法选取就诊于急诊科或EICU、并接受气管插管的54例患者,分别采用听诊双肺方法、声诺维灌注气囊床旁超声法判断气管插管位置,记录检查时间,并与床旁X线检查进行对比。结果听诊双肺方法判断气管插管位置的准确率为88.89%(48/54),声诺维灌注气囊床旁超声法准确率为98.15%(53/54)。声诺维灌注气囊床旁超声法和床旁X线检查准确率比较差异无统计学意义(P>0.05),而双肺听诊与床旁X线检查准确率比较差异有统计学意义(P<0.05)。听诊双肺方法、声诺维灌注气囊床旁超声法及床旁X线检查用时总体(F=3.959,P=0.038)及两两比较差异均有统计学意义(P均<0.05)。结论声诺维灌注气囊超声法判断气管插管位置具有准确、及时、安全、可重复等优点,值得临床推广。

Objective To explore the value of SonoVue perfusion balloon ultrasonic examination in evaluation of endotracheal intubation position.Methods Totally 54 patients in emergency department or EICU underwent tracheal intubation,and the position of endotracheal intubation was judged with auscultation of bilateral lungs and ultrasound with SonoVue perfusion balloon.The examination time of ultrasound were recorded and compared with X-ray examination.Results The accuracy rate of auscultation of bilateral lungs and ultrasound with SonoVue perfusion balloon in evaluation of the position of endotracheal intubation was 88.89%(48/54)and 98.15%(53/54),respectively.There was no significant difference in accuracy rate between ultrasound with SonoVue perfusion ballon and X-ray(P>0.05),while significant difference was detected between bilateral lung auscultation and X-ray(P<0.05).Statistically significance differences of examination time were found among three methods(F=3.959,P=0.038)and between any two groups(all P<0.05).Conclusion Ultrasound with SonoVue perfusion balloon had advantages of accuracy,timeliness,safety,speed and repeatability in evaluation of the position of endotracheal intubation,being worthy of clinical application.