| 摘要: |
| ［摘要］ 目的 观察插管导入器在老年腹腔镜胆囊切除术患者全身麻醉气管插管中的应用效果。方法 选择60例择期腹腔镜胆囊切除术（LC）老年患者，随机分为插管导入器组（A组）和直接喉镜组（B组）。A组采用插管导入器辅助气管插管，B组直接喉镜下直视气管插管。记录并比较患者麻醉诱导前（T0）、麻醉诱导后气管插管前（T1）、插管即刻(T2)、气管插管后1 min（T3）、气管插管后5 min（T4）各个时间点的平均动脉压（MAP）、心率（HR）、血氧饱和度（SpO2），以及两组的插管时间和成功率，观察插管后有无咽喉口腔黏膜损伤、牙齿牙龈损伤、咽喉疼痛以及声音嘶哑等并发症发生。结果 两组在T2、T3时间点的MAP、HR均明显高于插管前(P<0.05)；且B组较A组明显升高(P<0.05)；A组插管时间和并发症发生率明显短于或低于B组(P<0.05)。结论 插管导入器辅助气管插管比直接喉镜更能有效地抑制老年患者气管插管的应激反应，维持血流动力学的稳定，对提高老年患者全麻诱导和气管插管期间的安全性和舒适度有重要临床意义。 |
| 关键词: 插管导入器 直接喉镜 全身麻醉 气管插管 |
| DOI：10.3969/j.issn.1674-3806.2016.12.17 |
| 分类号:R 614 |
| 基金项目: |
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| Observation of lighted stylet tracheal intubation in old patients general anesthesia with laparoscopic cholecystectomy |
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WANG Long-ping, LIU Ying, FANG Ming, et al
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Department of Anesthesiology, the People′s Hospital of Jurong City, Jiangsu 212400, China
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| Abstract: |
| ［Abstract］ Objective To observe the clinical effect of lighted stylet tracheal intubation on old patients with general anesthesia and laparoscopic cholecystectomy.Methods Sixty old patients were enrolled and randomly divided into the lighted stylet group(Group A) and the direct laryngoscopy group(Group B). The patients in Group A were intubated with the lighted stylet device, and the patients in Group B were intubated with the direct laryngoscopy after the induction of general anesthesia. Heart rate(HR), mean arterial blood pressure(MAP) and SpO2 were measured immediately before induction（T0）, after induction but before intubation（T1）, intubating（T2）, after intubation for 1 min（T3）, after intubation for 5 min, respectively. The above indexes and the complications after intubation, including oral mucosa injury, tooth and gingival injury, throat pain and hoarseness were compared between the two groups.Results MAP and HR at T2 and T3 were significantly higher than those before intubation in both of the two groups; MAP and HR at T2 and T3 were significantly higher in Group B than in Group A; The intubation time and the complications in Group A were significantly lower than those in Group B.Conclusion Tracheal intubation with lighted stylet inhibits more effectively stress reaction than with direct laparoscopy in old patients, keeping their hemodynamics stable, improving safety and comfortability during anesthesia induction and intubation. |
| Key words: Lighted stylet Direct laryngoscopy General anesthesia Intubation |
