| 王 焱 1 骆 璇 2 王喆妍 1 梁 樱 1 马正良.弹性橡胶管芯技术用于困难气道行双腔气管导管插管的可行性研究[J].,2015,15(6):1076-1079 |
| 弹性橡胶管芯技术用于困难气道行双腔气管导管插管的可行性研究 |
| Study on the Feasibility of Gum Elastic Bougie used for Double-LumenEndotracheal Intubation in Difficult Airway |
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| DOI： |
| 中文关键词: 弹性橡胶管芯 双腔气管导管 困 难气道 McCoy 喉镜 |
| 英文关键词: Gum elastic bougie Double lumen endotracheal tube Difficult airway McCoy laryngoscope |
| 基金项目:江苏省科教兴卫麻醉学重点学科项目（ XK2011 40） |
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| 中文摘要: |
| 目的： 研究弹性橡胶管芯技术应用 于困难气道行双腔气管导管插管的可行性。 方法： 选择择期胸科手术并行双腔气管导管插
管患者 40 例 ，并将其随机分为 McCoy 喉镜组(M 组)和弹性橡胶管芯组(B 组)。 M 组患者使用 McCoy 喉镜行双腔气管插管， B 组
患者以弹性橡胶管芯行双腔气管插管。 观察和比较插管前后两组患者生命体征的变化、插管次数、所用时间以及由插管造成的损
伤发生率。 结果： ① 插管后即刻以及插管后 1 min、5min， 患者平均动脉压(MAP)、心率(HR)均呈不同 程度升高， B 组升高程度明 显
小于 M 组(P<0.01)。 ② B 组插管时遇到 的阻力 明显小于 M 组(P<0.05)， 插管尝试次数以及完成插管所用的时间 均少于或短于 M
组(P<0.05)。 ③ 术后 3 小时以及 24 小时， B 组由插管导致的声嘶与 咽痛 的发生率明 显低于 M 组(P<0.05)。 ④ 术后 48 小时， B 组患
者气道粘膜损伤的发生率明显低于 M 组(P<0.05)。 结论： 弹性橡胶管芯技术应用 于困难气道行双腔气管导管插管安全有效。 |
| 英文摘要: |
| Objective:To study the feasibility of gum elastic bougie applied in double-lumen endotracheal tube difficulty airway
intubation.Methods:40 patients who needed double-lumen endotracheal intubation before elective thoracic operation ,were selected and
randomly divided into McCoy laryngoscope group (Group M) and gum elastic bougie group (Group B). Group M was treated by McCoy
laryngoscope to manage the double-lumen endotracheal intubation, while Group B was given the gum elastic bougie for double-lumen
endotracheal intubation. Before and after tracheal intubation, the changes of vital signs of patients, attempts times, duration of intubation
and incidence of damage caused by intubation were observed and compared between two groups.Results:① Just after intubation and 1
min, 5min after intubation, the MAP, HR of two groups both increased to different degrees, which were more significanltly in group M
than those of group B(P<0.01). ② The resistance caused by intubation ,in Group B was obviously less than that of Group M(P<0.05), the
intubation attempts and completion time for intubation were less than those of Group M (P<0.05). ③ 3 hours and 24 hours after surgery,
the patients were gived a return visit and found the incidence of hoarseness and sore throat caused by intubation of Group B was
significantly lower than that of Group M (P<0.05). At 48 hours postoperation, the incidence of airway mucosal injury was obviously
lower of Group B than that of Group M (P<0.05).Conclusion:To use gum elastic bougie manage the double-lumen endotracheal
intubation in difficult airway was a safe and effective method. |
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