国产明视插管软镜与光棒在颈椎损伤患者气管插管中的应用比较*

Comparison of tracheal intubation with China-made video intubationscope and light wand in patients withcervical spine injury*

摘要:

摘要：目的 比较国产明视插管软镜（VIS）与光棒（LW）用于颈椎损伤患者气管插管中的临床应用效果。方法 颈椎损伤手术患者60例，随机分为国产明视插管软镜组（VIS组）和光棒组（LW组），每组30例。分别采用国产VIS和LW引导经口气管插管。记录两组气管插管时间、插管次数及成功率和插管相关并发症，观察两组麻醉前（T1）、气管插管前（T2）、气管插管后1 min（T3）、气管插管后3 min（T4）和气管插管后5 min（T5）的平均动脉压（MAP）和心率（HR）。结果 VIS组气管插管时间（25.3±13.6）s，LW组气管插管时间（23.8±12.5）s，两组比较，差异无统计学意义（P >0.05）；两组患者一次气管插管成功率及总成功率比较，差异均无统计学意义（93.3% vs 93.3%，100.0% vs 100.0%，P >0.05）；与T2时比较，T3～T4时两组患者MAP和HR均明显升高（P <0.05）。T3～T5各时点两组MAP和HR比较，差异均无统计学意义（P >0.05）。两组气管插管相关并发症发生率比较，差异无统计学意义（10.0% vs 16.7%，P >0.05）。结论 国产VIS和LW均适用于颈椎损伤患者经口气管插管，气管插管时间短，成功率高，插管并发症少，对患者血流动力学影响较轻。

Abstract:

Abstract: Objective To compare the clinical effect of tracheal intubation with china-made video intubationscope (VIS) and light wand (LW) in patients with cervical spine injury. Methods 60 patients with cervical spine injury underwent elective surgery were randomly divided into china-made video intubationscope group (group VIS) and light wand group (group LW), 30 cases in each. Orotracheal intubation was respectively guided by china-made video intubationscope (Group VIS) and light wand (group LW). The tracheal intubation time, the times of tracheal intubation, the success rate of intubation and the complications related intubation in the two groups were recorded. Mean arterial pressure (MAP) and heart rate (HR) before induction of anesthesia (T1), before tracheal intubation (T2), at 1 min after tracheal intubation (T3), at 3 min after tracheal intubation (T4) and at 5 min after tracheal intubation (T5) were recorded in the two groups. Results The tracheal intubation time was (25.3 ± 13.6) s in Group VIS and was (23.8 ± 12.5) s in group LW, there was no significant difference in tracheal intubation time between the two groups (P > 0.05). There were no significant difference in one-time success rate and total success rate of tracheal intubation between the two groups (93.3% vs 93.3%, 100.0% vs 100.0%) (P > 0.05). Compared with T2, MAP and HR in two groups were increased significantly at T3 ~ T4 (P < 0.05). MAP and HR at T3 ~ T5 were no significant difference between the two groups (P > 0.05). There was no significant difference in the incidence of complications related intubation between the two groups (10.0% vs 16.7%, P > 0.05). Conclusion Both china-made VIS and LW are suitable for tracheal intubation in patients with cervical spine injury, with a short time of tracheal intubation, high success rate and less complications of intubation, and less influence on hemodynamics of patients.