可视气管导管在全麻手术患者气道插管中的应用及安全性评价

目的:探讨可视气管导管在全麻手术患者气道插管中的应用及安全性。方法:选取2014年10月-2016年12月在广东省第二人民医院麻醉科行全麻手术的患者220例,其中使用可视气管导管进行插管的110例记为观察组,使用普通气管导管进行插管的110例记为对照组。对比两组患者的插管次数、插管时间和并发症发生率,对比两组患者麻醉诱导前(T_0)、麻醉诱导后(T_1)、气道插管后(T_2)、气道插管后5 min(T_3)心率(HR)、收缩压(SBP)、舒张压(DBP)及血氧饱和度(SpO_2)的变化情况。结果:观察组的插管时间和插管次数较对照组降低(P0.05);T1时间点两组患者的HR、SBP、DBP均低于T_0、T_2、T_3时间点,差异有统计学意义(P0.05);T_0、T_1、T_2、T_3两组患者HR、SBP、DBP、SpO_2比较无统计学差异(P0.05);观察组的喉痛发生率为0.91%,显著低于对照组的7.27%,差异有统计学意义(P0.05)。结论:全麻手术患者气道插管时使用可视气管导管插管效果满意,可有效的减少插管时间和插管次数,安全性较高,值得临床推广应用。

Application and Safety of Visual Endotracheal Tube in Tracheal Intubation in Patients with General Anesthesia Operation

ABSTRACT Objective: To explore the application and safety of visual endotracheal tube in tracheal intubation in patients with gen- eral anesthesia operation. Methods: 220 patients with general anesthesia operation in Department of Anesthesiology, Guangdong No.2 provincial people''s hospital from October 2014 to December 2016 were selected, 110 patients were treated with visual endotracheal intubation as observation group, 110 patients were treated with general endotracheal intubation as control group. The number of intubation, intubation times and complication rate in the two groups were contrasted, compared the heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP) and oxygen saturation (SpO₂) in the two groups at before induction of anesthesia (T₀), after induction of anesthesia (T₁), airway intubation (T₂), 5 min after intubation (T₃). Results: The number of intubation and intubation times in the observa- tion group were significantly less than those in the control group,the differences were statistically significant (P<0.05); At each time point, the HR, SBP, DBP and SpO₂ in the two groups were no significant difference (P>0.05); The HR, SBP, DBP and SpO₂ in the two groups at T₁ were significantly less than T₀, T₂, T₃, the differences were statistically significant (P<0.05); The incidence of throat pain in the observation group (0.91%) was significantly less than that in the control group (7.27%), the difference was statistically significant (P<0.05). Conclusion: Use visual endotracheal tube in tracheal intubation in patients with general anesthesia operation is satisfactory, can effectively reduce the time of intubation and intubation times, and has good security, it is worthy of clinical application.