《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (06): 713-716.

• 特稿 • 上一篇    下一篇

光学窥喉镜联合纤维支气管镜在颈椎损伤患者气管插管术中的应用

刘海泉，王增春，王强，任自刚，熊巍，王俊杰   

  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-06-25 发布日期:2015-06-25

Application of Airtraq® Optical Laryngoscope Combined with Bronchofibroscope for Endotracheal Intubation in Patients with Cervical Spine Injury

LIU Hai-quan, WANG Zeng-chun, WANG Qiang, REN Zi-gang, XIONG Wei, WANG Jun-jie   

  1. 1. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China; 2. Department of Anesthesiology, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-06-25 Online:2015-06-25

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被引次数

3

摘要： 目的 探讨光学窥喉镜联合纤维支气管镜在颈椎损伤患者气管插管术中应用的可行性。方法 选择 50例拟在静脉麻醉联合吸入麻醉下行颈椎手术的患者，随机分成使用光学窥喉镜气管插管组(A组)和光学窥喉镜联合纤维支气管镜气管插管组(AF组)。观察两组插管时间、一次插管成功率、插管期间血流动力学改变及插管相关并发症情况。结果 A组插管时间显著长于 AF组(P<0.001)。A组一次插管成功率低于AF组(P<0.05)。两组在气管插管期间血流动力学改变及插管相关并发症方面无显著性差异(P>0.05)。结论 光学窥喉镜联合纤维支气管镜可安全、有效地应用于颈椎损伤患者气管插管术中。

关键词: 颈椎损伤, 光学窥喉镜, 纤维支气管镜, 气管内插管

Abstract: Objective To explore the application of Airtraq® optical laryngoscope combined with bronchofibroscope for endotracheal intubation (EI) in patients with cervical spine injury (CSI). Methods 50 patients with CSI undergoing spine surgery under combined general anesthesia were randomly assigned to two groups, group A (n=25) received EI by using Airtraq® optical laryngoscope and group AF (n=25) received EI by using Airtraq® optical laryngoscope combined with bronchofibroscope. The intubation time (IT), success rate of single intubation (SRSI), hemodynamic changes in endotracheal intubation, and complications related to EI were observed. Results IT was significantly longer in group A than in group AF (P<0.001), and SRSI was significantly lower than in group A in group AF (P<0.05). There was no significant difference in hemodynamic changes in EI and complications related to EI between two groups (P>0.05). Conclusion Airtraq® optical laryngoscope combined with bronchofibroscope would be safely and effectively used for EI in patients with CSI.

Key words: cervical spine injury, optical laryngoscope, bronchofibroscope, endotracheal intubation