纤维支气管镜气管插管在小儿鼾症麻醉中的疗效分析

Effect Analysis of Fiberoptic Bronchoscope Tracheal Intubation in Pediatric Snoring Anesthesia

目的:分析纤维支气管镜气管插管在小儿鼾症麻醉中的应用疗效,为小儿鼾症临床治疗提供参考。方法:选取2019年3月~2020年12月本院收治的64例行手术治疗的小儿鼾症患儿为研究对象,基于气管插管方式的不同将其分为两组,组间一般资料差异无统计学意义(P>0.05)。首先对患儿进行面罩给氧和麻醉诱导,然后对照组在金属光纤麻醉喉镜引导下进行气管插管麻醉,研究组在纤维支气管镜引导下进行气管插管麻醉。观察两组患儿一次性插管成功率、插管所用时间和插管不良事件。结果:研究组患儿一次性插管成功率显著高于对照组;研究组患儿插管所用时间,显著短于对照组。研究组无插管不良事件发生,总不良事件发生率低于对照组。组间差异具有统计学意义(P<0.05)。结论:纤维支气管镜气管插管在小儿鼾症麻醉中疗效显著,可以显著提升一次性插管成功率,避免不良事件发生。

Objective:To analyze the effect of fiberoptic bronchoscope tracheal intubation in children with snoring anesthesia,and to provide reference for clinical treatment of snoring.Methods:64 children with snoring who received surgical treatment in our hospital from March 2019 to December 2020 were selected as study subjects and divided into two groups based on different tracheal intubation methods,there was no significant difference between groups(P>0.05).The children were given mask oxygen and anesthesia induction,then the control group was given tracheal intubation anesthesia under the guidance of metal fiber optic anesthesia laryngoscope,and the study group was given tracheal intubation anesthesia under the guidance of fiberoptic bronchoscope.The success rate of one-time intubation,intubation time and adverse events were observed.Results:The success rate of single intubation in study group was significantly higher than that in control group,and the time of intubation in study group was significantly shorter than that in control group.The incidence of total adverse events was lower in the study group than in the control group.The difference between groups was statistically significant(P<0.05).Conclusion:Fiberoptic bronchoscope endotracheal intubation is effective in children with snoring.It can improve the success rate of one-time endotracheal intubation and avoid adverse events.