[1]弓胜凯△,张卫.阻塞性睡眠呼吸暂停综合征患者Glide Scope视频喉镜和Macintosh喉镜气管插管效果比较[J].郑州大学学报(医学版),2013,(03):398.
 GONG Shengkai,ZHANG Wei.Comparison of nasotracheal intubation with Glide Scope video and Macintosh laryngoscope in obstructive sleep apnea syndrome patients[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2013,(03):398.
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阻塞性睡眠呼吸暂停综合征患者Glide Scope视频喉镜和Macintosh喉镜气管插管效果比较
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2013年03期
页码:
398
栏目:
应用研究
出版日期:
2013-06-20

文章信息/Info

Title:
Comparison of nasotracheal intubation with Glide Scope video and Macintosh laryngoscope in obstructive sleep apnea syndrome patients
作者:
弓胜凯张卫
郑州大学第一附属医院麻醉科 郑州 450052
Author(s):
GONG ShengkaiZHANG Wei
Department of Anesthesiology, the First Affiliated Hospital, Zhengzhou University, Zhengzhou 450052
关键词:
阻塞性睡眠呼吸暂停综合征Glide Scope视频喉镜Macintosh喉镜气管内插管法
Keywords:
obstructive sleep apnea syndrome Glide Scope video laryngoscopeMacintosh laryngoscope intratracheal intubation
分类号:
R614.2
摘要:
摘要目的:比较Glide Scope视频喉镜与Macintosh喉镜在阻塞性睡眠呼吸暂停综合征(OSAS)患者引导气管插管中的应用效果。方法:择期行悬雍垂腭咽成形术的OSAS患者60例,分为Glide Scope视频喉镜组(G组,n=30)和Macintosh喉镜组(M组,n=30)。术前应用改良Mallampati法对所有患者进行气道评估,诱导后分别用两种喉镜引导经鼻气管插管,记录CormackLehane分级、插管时间及插管前后平均动脉压(pMA)、心率(fH)变化情况,计算首次插管成功率。结果:G组声门显露程度优于M组(Z=3.907,P<0.001),插管后G组pMA和fH的变化较M组明显轻微(t=2.473、2.647,P<0.05),首次插管成功率G组(86.7%)明显高于M组(63.3%)。结论:与Macintosh喉镜相比,Glide Scope视频喉镜能明显改善OSAS患者临床插管条件,可作为一种有效的插管工具推广应用。
Abstract:
AbstractAim: To appraise the clinical application effects of Glide Scope video laryngoscope and Macintosh laryngoscope in obstructive sleep apnea syndrome(OSAS) patients. Methods: Sixty OSAS patients (ASAⅠ~Ⅱ) were randomly assigned into two groups: group G (Glide Scope video laryngoscope, n=30), group M(Macintosh laryngoscope, n=30). Airway difficulty prediction was done with modified Mallampati classification before anesthesia. CormackLehane classification and the change of haemodynamics were recorded before and after tracheal intubation. The success rate of the first intubation was calculated.Results: The CormackLehane grade of group G was significantly better than that of group M(Z=3.907,P<0.001). Compared with group M, the changes of pMA and fH in group G were milder(t=2.473,2.674,P<0.05).The first intubation success rate of group G was higher than group M(86.7% vs 63.3%).Conclusion: Glide Scope video laryngoscope can effectively improve the clinical condition of intubation in patients with OSAS and should be used widely.

参考文献/References:

[1]王玮.阻塞性睡眠呼吸暂停综合征与难治性高血压[J]. 中国实用内科杂志,2011,31(7):486
[2]王蓓.阻塞性睡眠呼吸暂停综合征与扩张型心肌病[J]. 中国实用内科杂志,2011,31(7):488
[3]门小茜,王菡侨.阻塞性睡眠呼吸暂停综合征与夜间心律失常[J]. 中国实用内科杂志,2011,31(7):491
[4]Samsoon GL, Young JR. Difficult tracheal intubation: a retrospective study[J]. Anaesthesia, 1987, 42 (5):487
[5]Cormack RS,Lehane J.Difficult tracheal intubation in obstetrics[J]. Anaesthesia, 1984, 39(11):1105
[6]弓胜凯,张燕,谢广伦,等.腭咽成形术麻醉中纤维支气管镜引导气管插管80例[J]. 郑州大学学报:医学版,2012, 47(5): 738
[7]Kim JA, Lee JJ. Preoperative predictors of difficult intubation in patients with obstructive sleep apnea syndrome[J]. Can J Anaesth, 2006, 53(4): 393
[8]Serocki G, Bein B, Scholz J, et al. Management of the predicted difficult airway: a comparison of conventional blade laryngoscopy with videoassisted blade laryngoscopy and the Glide Scope[J]. Eur J Anaesthesiol, 2010, 27(1):24
[9]Aziz MF, Healy D, Kheterpal S,et al. Routine clinical practice effectiveness of the Glide scope in difficult airway management: an analysis of 2,004 Glide scope intubations, complications, and failures from two institutions[J]. Anesthesiology, 2011, 114(1):34
[10]Apfelbaum JL, Hagberg CA, Caplan RA, et al. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway[J]. Anesthesiology, 2013, 118(2):251
[11]Russell T, Khan S, Elman J, et al. Measurement of forces applied during Macintosh direct laryngoscopy compared with Glide Scope video laryngoscopy[J].Anaesthesia, 2012, 67(6): 626

相似文献/References:

[1]弓胜凯,张燕,谢广伦,等.腭咽成形术麻醉中纤维支气管镜引导气管插管80例[J].郑州大学学报(医学版),2012,(05):738.

备注/Memo

备注/Memo:
△男,1972年6月生,硕士,主治医师,研究方向:困难气道与临床麻醉,Email:gsk1972@126.com
更新日期/Last Update: 2013-07-03