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      标题:麻醉状态下Macintosh喉镜与托下颌法辅助纤支镜经口气管插管的效果对比
      作者:左安定,颜勇军,钟 庆
    (安岳县人民医院麻醉科,四川 安岳 642350)
      卷次: 2013年24卷4期
      【摘要】 目的 比较Macintosh喉镜与托下颌法辅助纤支镜经口气管插管的效果。方法 100例择期妇腔
镜手术患者随机分成两组行纤支镜经口气管插管:J组常规托下颌法,M组为Macintosh喉镜辅助组。麻醉诱导
后行纤支镜操作。观察指标声门暴露时间、暴露一次成功率、置管时间、置管一次成功率、气管插管所致并发
。结果 各项操作指标M组皆优于 J组:声门暴露及置管时间 J组长于M组(P<0.05);一次成功率 J组低于M
组(P<0.05)。结论 使用Macintosh喉镜辅助可较托下颌法显著地提高麻醉状态下纤支镜经口气管插管的成功
率,缩短操作时间。

      【关键词】 Macintosh喉镜;托下颌;纤维支气管镜;气管插管

      【中图分类号】 R653 【文献标识码】 A 【文章编号】 1003—6350(2013)04—0508—02

Comparative study of Macintosh laryngoscopy and jaw thrust to aid fibreoptic oral intubation under general
anesthesia. ZUO An-ding, YAN Yong-jun, ZHONG Qing. Department of Anesthesiology, Anyue People's Hospital, Anyue
642350, Sichuan, CHINA

      【Abstract】 Objective To compare the effect of using Macintosh laryngoscopy or jaw thrust to open airway
during fiberoptic bronchoscope for oral tracheal intubation. Methods One hundred patients scheduled for fibreoptic
oral intubation were randomly assigned into group J (applying jaw thrust for assistance) and group M (applying Macin-
tosh laryngoscopy for assistance). After standard intravenous anesthetic induction, insertion of endotracheal tube was
performed. The time of glottic exposure and trachea intubation, success rate of insertion of endotracheal tubes, and in-
cidence of complications were recorded and compared between the two groups. Results The indexes of group M
were all significantly better than those in group J. In group M, the time of glottic exposure, trachea intubation was sig-
nificantly shorter (P<0.05), and the first success rate was significantly higher (P<0.05). Conclusion Compared to
jaw thrust, Macintosh laryngoscope can significantly improve the success rate of intubation and shorten the operation
time under anesthesia.

      【Key words】 Macintosh laryngoscope; Jaw thrust; Fiberoptic bronchoscope; Tracheal intubation

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