不同气管插管教学培训方案在无气管插管经验医生中的应用

Application of different teaching and training programs for endotracheal intubation in doctors without endotracheal intubation experience

目的:比较普通喉镜、可视喉镜气管插管两种视频模拟教学培训方案在无气管插管经验的医生中的教学效果。方法:将30名无气管插管经验的医生随机分成普通喉镜组(对照组)、可视喉镜组(试验组)。对照组行普通喉镜气管插管视频模拟教学培训方案,试验组行可视喉镜气管插管视频模拟教学培训方案。模拟培训结束后,在专业麻醉医生指导下,立即对150例预计非困难气道的择期妇产科手术患者进行全麻后气管插管。比较两组医生首次尝试插管气管插管的成功率、气道损伤情况及气管插管自信心。结果:气管插管视频模拟教学培训后,试验组医生气管插管自信心及气管插管成功率较对照组均显著增加(P<0.05)。试验组首次气管插管成功时间明显短于A组(P<0.05);两组气管插管后损伤率无统计学差异(P>0.05)。结论:可视喉镜是一种适合无气管插管经验的医生快速掌握非困难气道气管插管的有效工具。

Objective:To compare the teaching effect of two video simulation training programs of ordinary laryngoscope and visual laryngoscope for endotracheal intubation in doctors without endotracheal intubation experience.Methods:30 doctors without endotracheal intubation experience were randomly divided into two groups:ordinary laryngoscopy group(the control group)and visual laryngoscopy group(the experimental group).The video teaching and training programs of endotracheal intubation by ordinary laryngoscopy and visual laryngoscopy were given in the control group and the experimental group,respectively.After the simulation training,under the guidance of professional anesthesiologists,150 patients scheduled for elective obstetrics and gynecology surgery with expected non-difficult airway were intubated immediately after general anesthesia.The success rate,airway injury and intubation self-confidence were compared between the two groups.Results:After simulation training,the intubation selfconfidence and success rate of endotracheal intubation in the experimental group were significantly higher than those in the control group(P<0.05).The success time of the first endotracheal intubation in the experimental group was significantly shorter than that in the experimental group(P<0.05).However,there was no significant difference in the injury rate after endotracheal intubation between the two groups(P>0.05).Conclusion:Visual laryngoscope is an effective tool for doctors without endotracheal intubation experience to quickly master the endotracheal intubation in patients with non-difficult airway.