摘要
目的:探讨可视喉镜下行气管插管对老年全麻手术患者的血流动力学指标、插管相关指标及并发症的影响。方法:选择2017年3月-2019年3月于潮州市人民医院行气管插管全身麻醉手术的老年患者120例为研究对象,依据随机数字表法将其分成试验组(60例)与对照组(60例)。对照组采用常规直视喉镜下行气管插管,试验组采用可视喉镜下行气管插管。比较两组患者行全身麻醉前与行气管插管即刻的血流动力学指标情况,包括心率(HR)、收缩压(SBP)和舒张压(DBP);插管相关指标:插管次数、声门暴露时间以及插管总时间,同时观察两组患者术后并发症发生情况。结果:全身麻醉诱导前,两组HR、SBP和DBP指标水平比较,差异均无统计学意义(P>0.05);行气管插管即刻,试验组患者的HR、SBP和DBP指标水平均低于对照组(P<0.05);试验组患者的插管次数、声门暴露时间以及插管总时间均少于对照组,差异均有统计学意义(P<0.05);试验组患者术后并发症发生率为6.67%,低于对照组的23.33%,差异有统计学意义(P<0.05)。结论:可视喉镜下行气管插管能有效降低因插管刺激对老年全麻手术患者血流动力学的影响,减少并发症发生率,值得推广应用且具有一定的开展前景。
Objective: To investigate the effect of tracheal intubation under visual laryngoscopy on hemodynamic indexes, intubation related indexes and complications of elderly patients undergoing general anesthesia. Method: A total of 120 elderly patients who underwent tracheal intubation under general anesthesia in Chaozhou People’s Hospital from March 2017 to March 2019 were selected as the study subjects, they were randomly divided into the experimental group(60 cases) and control group(60 cases), according to the random number table method. The control group was intubated with under normal direct laryngoscope, and the experimental group was intubated with under visual laryngoscope. Hemodynamic parameters, including heart rate(HR), systolic blood pressure(SBP) and diastolic blood pressure(DBP), were compared between the two groups before total anesthesia and immediately after endotracheal intubation;related indicators of intubation: intubation times, glottis exposure time and total intubation time;postoperative complications of patients in the two groups were observed simultaneously. Result: Before total anesthesia induction, there were no statistically significant differences in the indexes of HR, SBP and DBP between the two groups(P>0.05);at the time of tracheal intubation, HR, SBP and DBP in the experimental group were lower than those in the control group(P<0.05). The intubation frequency, glottis exposure time and total intubation time of the experimental group were all lower than those of the control group, with statistically significant differences(P<0.05). The total incidence of postoperative complications in the experimental group was 6.67%, lower than 23.33% in the control group, the difference was statistically significant(P<0.05). Conclusion: Tracheal intubation under visual laryngoscopy can effectively reduce the influence of intubation stimulation on hemodynamics of elderly patients undergoing general anesthesia and reduce the incidence of complications, which is worthy of promotion and has certain prospects.
作者
林岳阳
LIN Yueyang(Chaozhou People’s Hospital,Chaozhou 521000,China)
出处
《中国医学创新》
CAS
2020年第2期30-33,共4页
Medical Innovation of China
关键词
可视喉镜
气管插管
全麻手术
血流动力学
Visual laryngoscope
Tracheal intubation
General anesthesia surgery
Hemodynamics
