摘要
目的探讨嗅物位在全身麻醉气管插管手术患者中的应用效果。方法选择我院腹腔镜胆囊切除全身麻醉手术患者140例,采用随机数字表法分为观察组和对照组各70例。对照组患者采取常规去枕仰卧位,观察组采取嗅物位,观察比较2组手术患者的气管插管时间、Cormack-Lehane喉头分级、并发症及生命体征。结果观察组气管插管时间及并发症发生率低于对照组(P<0.05),观察组首次气管插管成功率高于对照组(P<0.05),Cormack-Lehane喉头分级优于对照组(P<0.05),观察组气管插管后心率和平均动脉压优于对照组(P<0.05)。结论手术患者气管插管时采用嗅物位,能提高首次气管插管成功率,降低恶心呕吐、咽喉部不适发生,并维持血流动力学稳定。
Objective To investigate the effect of sniffing position on endotracheal intubation under general anesthesia operational patients. Methods A total of 140 patients with laparoscopic cholecystectomy were divided into the observation group and the control group randomly with 70 cases in eaeh group. Patients in the control group were treated with the supine position, and the observation group the sniffing position. The time of intubation, Cormack-Lehane laryngeal classification, the complications and vital signs in two groups were observed. Results There were shorter time of intubation, less complications, lower mean artery pressure and slower heart rate in the observation group when compared with those in the control group（all P〈0.05）, and there was significantly difference in Cormack-Lehane laryngeal classification between the two groups（P〈0.05）. Conclusion Sniffing position, which is better than the traditional supine position during tracheal intubation, can improve the success rate of the first intubation, reduce the postoperative complications, maintain hemodynamic stability and promote postoperative rehabilitation.
作者
陈罡
吴超瑜
赵以林
刘尚昆
CHEN Gang;WU Chao-yu;ZHAO Yi-lin;LIU Shang-kun(Dept. of Anesthesiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology,Wuhan 430030, Chin)
出处
《护理学报》
2017年第21期48-51,共4页
Journal of Nursing（China）
基金
国家自然科学基金(81500982)
华中科技大学同济医学院附属同济医院青年基金(2016B009)
关键词
气管插管
嗅物位
护理
tracheal intubation
sniffing position
nursing
