S型喉镜及S型可视喉镜在气管插管中的应用研究

Application of S-type Laryngoscope and S-type Visual Laryngoscope in Tracheal Intubation

目的:对S型喉镜与S型可视喉镜应用在全身麻醉气管插管中的效果比较,对S型可视喉镜的临床应用价值进行探讨。方法:选取2019年9月至2021年3月在我院进行全麻手术进行气管插管的患者作为研究对象,随机分成两组,实验组(50例)与对照组(50例)。对插管成功率、插管时间、并发症以及声门暴露时间进行比较。结果:实验组插管用时和插管次数以及声门暴露时间低于对照组,而一次插管成功率明显高于对照组。实验组造成的喉部肿胀、黏膜损伤以及喉部出血的比率明显低于对照组,差异具有统计学意义(P<0.05)。结论:S型可视喉镜在全身麻醉气管插管中的效果要全方位优于S型喉镜。可以有效降低声门暴露时间并减少插管次数,能够提高全麻手术气管插管对患者带来的损伤,在临床使用中更加安全。

Objective:To compare the effect of S-type laryngoscope and S-type visual laryngoscope in tracheal intubation under general anesthesia,and to discuss the clinical application value of S-type visual laryngoscope.Methods:Patients who underwent general anesthesia for endotracheal intubation in our hospital from September 2019 to March 2021 were selected as the research subjects,and randomly divided into two groups:experimental group(50 cases)and control group(50 cases).The success rate of intubation,intubation time,complications and glottic exposure time were compared.Results:The duration of intubation,the number of intubation and the exposure time of glottis in the experimental group were lower than those in the control group,while the success rate of one intubation was significantly higher than that in the control group.The rates of laryngeal swelling,mucosal injury and laryngeal bleeding in the experimental group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:S-type video laryngoscope was better than S-type laryngoscope in all aspects in general anesthesia tracheal intubation.It can effectively reduce the exposure time of glottis and the number of intubation times,and can improve the damage to patients caused by tracheal intubation in general anesthesia surgery,making it safer in clinical use.