标题：Airtraq视频喉镜与Macintosh直接喉镜用于手术室外急救气管插管的效果比较

      作者：杨雄眺，段军杰，师攀，郭宏财    (深圳市龙岗中心医院麻醉科，广东 深圳 518116)

      卷次： 2018年29卷10期

      【摘要】 目的 探讨Airtraq视频喉镜与Macintosh直接喉镜应用于手术室外急救气管插管的临床效果。方法 选取2014年1月至2017年1月期间深圳市龙岗中心医院80例手术室外急救气管插管患者，根据随机数表法将其分为对照组(Macintosh直接喉镜)和观察组(Airtraq视频喉镜)，每组 40例，气管插管前，两组均静脉注射丙泊酚 1~2 mg/kg，比较两组患者喉部结构显露程度、插管时血流动力学变化、插管时间、一次性插管成功率、呛咳及呕吐发生率。结果 观察组患者的喉部结构显露Ⅰ级的比例为 72.5%，明显高于对照组的 62.5%，差异有统计学意义(P<0.05)；观察组患者插管后收缩压、舒张压、平均动脉压和心率分别为(114.1±14.2) mmHg、(70.3±10.9) mmHg、(80.2±13.4) mmHg、(73.5±12.2)次/min，明显低于对照组的(131.3±17.6) mmHg、(89.5±12.8) mmHg、(90.1±13.4) mmHg、(88.2±11.3)次/min，差异均有统计学意义(P<0.05)；观察组患者插管时间、呛咳及呕吐发生率分别为(38.9±3.5) s、17.5%，均明显少于对照组的(56.3±5.7) s、40.0%，一次性插管成功率为87.5%，明显高于对照组的67.5%，差异均具有统计学意义(P<0.05)。结论 Airtraq视频喉镜应用于手术室外急救气管插管临床效果较Macintosh直接喉镜好，其更有利于喉部结构的充分显露，提高一次性插管成功率，值得临床推广。
      【关键词】 Airtraq视频喉镜；Macintosh直接喉镜；气管插管；血流动力学
      【中图分类号】 R605.97 【文献标识码】 A 【文章编号】 1003—6350（2018）10—1379—03

Comparison of effect between Airtraq? video laryngoscope and Macintosh direct laryngoscope in emergencyendotracheal intubation out of operation room.
YANG Xiong-tiao, DUAN Jun-jie, SHI Pan, GUO Hong-cai.Department of Anesthesiology, Longgang Central Hospital of Shenzhen, Shenzhen 518116, Guangdong, CHINA
【Abstract】 Objective To study the clinical effect of Airtraq? video laryngoscope and Macintosh direct laryn-goscope in emergency endotracheal intubation out of operation room. Methods A total of 80 patients with emergen-cy endotracheal intubation out of operation room, who admitted to Longgang Central Hospital of Shenzhen from Jan.2014 to Jan. 2017, were selected and divided into into the control group (Macintosh direct laryngoscope) and the obser-vation group (Airtraq? video laryngoscope) according to random number table method, with 40 patients per group.The intravenous injection of propofol (1-2 mg/kg) were done in the two groups before tracheal intubation. The revealdegree of laryngeal structure, hemodynamic changes during intubation, and intubation time, one-time success rate ofintubation, and the incidence of cough and vomiting in the two groups were compared. Results TheⅠ level of laryn-geal structure rate in the observation group was 72.5%, which was significantly higher than 62.5% in the control group(P<0.05); after the intubation, the systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure(MAP), heart rate (HR) in the observation group were (114.1±14.2) mmHg, (70.3±10.9) mmHg, (80.2±13.4) mmHg,(73.5±12.2) times/min, respectively, which were significantly lower than corresponding (131.3±17.6) mmHg, (89.5±12.8) mmHg, (90.1±13.4) mmHg, (88.2±11.3) times/min in the control group (P<0.05); during the intubation, coughand vomiting were respectively (38.9±3.5) s and 17.5% in the observation group, which were significantly less than(56.3±5.7) s and 40.0% in the control group (P<0.05); the one-time success rate of intubation was 87.5%, which wassignificantly higher than 67.5% in the control group (P<0.05). Conclusion Airtraq? video laryngoscope has betterclinical effect in the treatment of the emergency endotracheal intubation out of operation room, which is more condu-cive to the full exposure of laryngeal structure, so as to improve the one-time success rate of intubation, and is worthyof clinical promotion.
      【Key words】 Airtraq? video laryngoscope; Macintosh direct laryngoscope; Endotracheal intubation; Hemody-namics·论 著·doi:10.3969/j.issn.1003-6350.2018.10.014