国产UE可视喉镜在全麻甲状腺手术患者气管插管中的临床观察

Clinical observation of domestic UE visual laryngoscope used in tracheal intubation for patients with general anesthesia in the thyroid surgical

目的:比较UE可视喉镜和Macintosh直接喉镜在全麻甲状腺手术患者气管插管中的临床应用效果。方法:收治甲状腺手术全麻患者60例,随机分为可视喉镜组(A组)和直接喉镜组(B组),每组30例。比较两组麻醉插管前(T0)、插管即刻(T1)、插管完成后5 min(T2)时的平均动脉压和心率,比较两组声门暴露程度、插管所用时间、一次插管成功率及并发症发生情况。结果:B组插管即刻(T1)MAP、HR明显高于A组,差异有统计学意义(P<0.05)。A组插管时间缩短,声门暴露程度优,一次性插管成功率高,插管相关并发症少,两组比较,差异均有统计学意义(P<0.05)。结论:国产UE可视喉镜在全麻甲状腺手术患者气管插管中对血流动力学影响更小,且快捷、安全。

Objective:To compare the clinical application effect of UE visual laryngoscope and Macintosh direct laryngoscope used in tracheal intubation for patients with general anesthesia in the thyroid surgical.Methods:60 cases of patients with general anesthesia in the thyroid surgical were randomly divided into the visual laryngoscope group(group A) and the direct laryngoscope group(group B),with 30 cases in each group.The mean arterial pressure and heart rate of the two groups before anesthesia intubation(T0),immediate intubation(T1),5 min after intubation(T2) were compared.The glottis exposure,intubation time,once successful intubation rate and complications of the two groups were compared.Results:The MAP and HR of the Group B immediate intubation(T1) were significantly higher than those of group A,and the differences were statistically significant(P<0.05).Group A had shorter intubation time,better glottis exposure,higher once successful intubation rate and less complications caused by intubation,and the differences between the two groups had statistical significance(P<0.05).Conclusion:Domestic UE visual laryngoscope used in tracheal intubation for patients with general anesthesia in the thyroid surgical had smaller effect on hemodynamics.It was quick and safe.