Shikani可视喉镜与Mc Coy喉镜用于老年患者全身麻醉气管插管的比较研究

Comparison between shikani optical stylet and Mc coy laryngoscope on elder patients with intratracheal intubation anesthesia

摘要:

目的??对比Shikani可视喉镜与Mc Coy喉镜用于老年患者全身麻醉气管插管的效果差异。方法?112例在该院接受全身麻醉的老年患者被纳入研究，根据接受的麻醉插管方式不同，所有入组患者被分为Shikani可视喉镜组（52例）、Mc Coy喉镜组（60例）。检测两组患者的插管前后血流动力学指标、应激相关指标以及脑电相关指标。结果?Shikani可视喉镜组患者一次插管成功率、总插管成功率均高于Mc Coy喉镜组患者，多次插管率低于Mc Coy喉镜组患者（P <0.05）；Shikani可视喉镜组患者的T1、T2时平均动脉压（MAP）和心率（HR）水平低于相应时间点的Mc Coy喉镜组患者（P <0.05）；Shikani可视喉镜组患者的T1、T2时血浆肾上腺素、去甲肾上腺素、血糖水平低于相应时间点的Mc Coy喉镜组患者（P <0.05）；Shikani可视喉镜组患者的T1、T2时脑电双频指数（BIS）、ECoG分级、αβ波相对功率值（αβ%）均低于对应时间点的Mc Coy喉镜组患者（P <0.05）。结论?老年患者全身麻醉气管插管时应用Shikani可视喉镜，在提升插管成功率的同时，可以有效稳定患者的循环系统，减少过度应激造成的躯体各系统功能异常，具有积极的临床意义。

Abstract:

Objective?To compare shikani optical stylet and Mc coy laryngoscope on elder patients with intratracheal intubation anesthesia.?Methods?112 cases of elder patients with intratracheal intubation anesthesia were enrolled as study objects, all patients were divided into shikani optical stylet group (52 cases), Mc coy laryngoscope group (60 cases) according to different intubation way. Then detect the hemodynamic parameters, stress-related indicators, EEG relevant indicators of the two groups.?Results?One time success rate and total success rate in Shikani visual laryngoscope group was higher than Mc Coy visual laryngoscope group, while many times intubation rate was lower (P < 0.05); T1, T2 MAP, HR levels were lower in Shikani optical stylet group than Mc Coy laryngoscope group patients (P < 0.05); Plasma levels of epinephrine, norepinephrine, and glucose on T1, T2 in Shikani optical stylet group was lower than that in Mc Coy laryngoscope group (P < 0.05); T1, T2 BIS, ECoG grading, αβ% values in Shikani optical stylet group was lower than that in Mc coy laryngoscope group (P < 0.05).?Conclusions?Elderly patients with intratracheal intubation anesthesia received shikani optical stylet can enhance the success rate of intubation and effectively stabilize patients circulatory system, reduce excessive physical stress caused by various system dysfunction, which shows positive significance.