Tosight可视喉镜在全麻患者气管插管导管定位中的作用

The Role of Tosight Video Laryngoscope in Positioning of Tracheal Intubation Catheter in General Anesthesia Patients

目的探究Tosight可视喉镜在全麻患者行气管插管导管定位患者中的应用效果。方法选择2018年5月~2019年5月于我院接受气管插管全身麻醉下择期手术的60例患者作为研究对象,按照随机数字表法将其分为实验组与对照组,各30例。对照组采用直接喉镜联合普通气管导管插管,实验组在Tosight可视喉镜下开展气管插管导管定位;比较两组插管时间、声门暴露时间、平均插管次数、一次成功率、插管前后即刻血流动力学指标变化、声门暴露等级以及术后并发症发生情况。结果实验组插管时间、声门暴露时间、平均插管次数均低于对照组,差异有统计学意义(P<0.05);实验组一次成功率(96.67%vs 80.00%)高于对照组,差异有统计学意义(P<0.05);插管即刻实验组SBP、DBP及HR水平均低于对照组,差异有统计学意义(P<0.05);两组声门暴露等级比较,差异无统计学意义(P>0.05);实验组并发症发生率低于对照组(6.67%vs 26.67%),差异有统计学意义(P<0.05)。结论对全麻行气管插管患者开展Tosight可视喉镜下的导管定位能够缩短插管时间、提高插管成功率,有助于稳定患者血流动力学水平,降低术后并发症发生率,值得临床应用。

Objective To explore the application effect of Tosight video laryngoscope in general anesthesia patients undergoing tracheal intubation catheter positioning.Methods 60 patients who underwent elective surgery under general anesthesia for tracheal intubation in our hospital from May 2018 to May 2019 were selected as the research objects.According to the random number table method,they were divided into experimental group and control group,with 30 cases in each group.The control group used direct laryngoscopy combined with ordinary tracheal tube intubation,and the experimental group performed tracheal intubation catheter positioning under the Tosight visual laryngoscope;The intubation time,glottis exposure time,average intubation times,one-time success rate,changes in hemodynamic indicators immediately before and after intubation,glottal exposure level,and postoperative complications were compared between the two groups.Results The intubation time,glottal exposure time,and average intubation times of the experimental group were lower than those of the control group,the difference was statistically significant(P<0.05);the first-time success rate of the experimental group(96.67%vs 80.00%)was higher than that of the control group,the difference was statistically significant(P<0.05);The levels of SBP,DBP and HR in the experimental group immediately after intubation were lower than those in the control group,the difference was statistically significant(P<0.05);There was no significant difference between the two groups of glottal exposure levels(P>0.05);The incidence of complications in the experimental group was lower than that in the control group(6.67%vs 26.67%),the difference was statistically significant(P<0.05).Conclusion To perform catheter positioning under Tosight video laryngoscope for patients undergoing general anesthesia with tracheal intubation can shorten the intubation time,increase the success rate of intubation,help stabilize the patient's hemodynamic level,and reduce the incidence of postoperative complications.It is worthy of clinical application.