|本期目录/Table of Contents|

[1]韦晓勇,韩彩玲,高玉华,等.改良气管插管方法在非困难气道患者双腔气管插管中 的应用[J].天津医科大学学报,2019,25(01):70-72.
　WEI Xiao-yong,HAN Cai-ling,GAO Yu-hua,et al.Application of improved endotracheal intubation methodin double-lumen endotracheal intubation for non-difficult airway patients[J].Journal of Tianjin Medical University,2019,25(01):70-72.
点击复制

改良气管插管方法在非困难气道患者双腔气管插管中 的应用(PDF)
分享到：

《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:
25卷
期数:
2019年01期
页码:
70-72
栏目:
临床医学
出版日期:
2019-01-20

文章信息/Info

Title:
Application of improved endotracheal intubation methodin double-lumen endotracheal intubation for non-difficult airway patients
文章编号:
1006-8147(2019)01-0070-03
作者:
韦晓勇; 韩彩玲; 高玉华; 刘晓媛; 闵红星
（宁夏医科大学总医院麻醉科，银川 750004）
Author(s):
WEI Xiao-yong;  HAN Cai-ling;  GAO Yu-hua;  LIU Xiao-yuan;  MIN Hong-xing
（Department of Anesthesiology, General Hospital, Ningxia Medical University,Yinchuan 750004, China）
关键词:
双腔气管导管; 插管; 困难气道; 单肺通气
Keywords:
double lumen endotrachealtube;  intubation; difficult airway; one-lung ventilation
分类号:
R61
DOI:
-
文献标志码:
A
摘要:
目的：观察直接喉镜辅助下改良气管插管方法在非困难气道患者双腔气管插管中应用的临床效果及安全性。方法：择期胸科单肺通气手术患者60例，ASA分级I-III级，随机分为常规方法组（A组）和改良方法组(B组)，每组30例。A组常规方法、B组改良方法行双腔气管导管插管。比较两组插管成功率、定位成功率、插管期间心率（HR）和平均动脉压（MAP）变化及不良反应。结果：两组一次性气管插管成功率均100%及一次性定位成功率（A组86.7%，B组93.3%）比较无明显差异（P＞0.05）。B组咽痛、声嘶发生率（0.33%、0%）较A组（23.3%、1%）降低（P＜0.05）。B组T2-3时HR、MAP较A组降低（P＜0.05）。A组T2-4时、B组T2时HR、MAP较T0时升高（P＜0.05），B组T3-4时HR、MAP与T0时比较无明显差异（P＞0.05）。结论：双腔气管导管改良插管方法操作简单，稳定循环，可降低术后并发症。
Abstract:
Objective: To observe the clinical efficacy and safety of improved endotracheal intubation method with direct laryngoscopy in double-lumen endotracheal intubation for non-difficult airway patients. Methods: Sixty ASA I-III patients undergoing the thoracic surgery of one-lung ventilation,were randomly divided into two groups(n=30 each):the conventional method group(group A) and the improved method group (group B).The two groups received double lumen endotracheal intubation. Group A adopted the conventional method while group B used the improved method. The success rate of intubation, the ratio of right positioning, intubation time, heart rate(HR) and mean arterial pressure (MAP) during intubation and adverse reactions were compared between the two groups.Results:Theone-time intubation success rate(100%) in two groups and one-time positioning success rate (group A 86.7%, B group 93.3%)had no statistical difference (P＞0.05) . Compared with group A, the incidence of sore throat and hoarseness(0.33%, 0 vs 23.3%, 1% )in group B were lower (P＜0.05) , and the HR, MAP at T2-3 in group B were also lower(P＜0.05) . Compared with T0, the HR and MAP were higher at T2-4 in group A and at T2 in group B(P＜0.05), and the HR and MAP at T3-4 in group B had no statistical difference (P＞0.05) . Conclusion:Improved double lumen endotracheal intubation methodis easy to operate, which could keep hemodynamics stable and reduce the incidence of postoperative complications.

参考文献/References:


[1] 卢增停, 蔡永红, 王立勋, 等.国产小儿型明视插管软镜和听诊法用于双腔支气管导管定位的对比研究[J]. 中国内镜杂志,2017, 23(10):6
[2] 王纯辉, 陈珂, 顾尔伟,等. Supreme喉罩联合Coopdech支气管阻塞器在食管癌手术中的应用[J].临床麻醉学杂志, 2013, 29(5):479
[3] 易杰, 黄宇光, 罗爱伦. Airtraq DL喉镜用于双腔气管导管插管的临床效果[J].临床麻醉学杂志, 2012, 28(2):146
[4] 沈荣荣, 杨鑫, 李樱青, 等. McGrath-5型视频喉镜与McCoy喉镜引导困难气道双腔支气管插管的效果比较[J]. 中国内镜杂志,2016,22(09):15
[5] 瞿慧, 嵇晓阳, 杨芸斌, 等.可视喉镜联合纤维支气管镜在声门显露困难患者双腔支气管插管中的应用[J]. 临床麻醉学杂志,2017, 33(1):26
[6] Purugganan R V, Jackson T A, Heir J S, et al.Video laryngoscopy versus direct laryngoscopy for double-lumen endotracheal tube intubation: a retrospective analysis[J]. J CardiothoracVascAnesth, 2012,26(5):845
[7] Hung N K, Wu C T, Chan S M, et al. Effect on postoperative sore throat of spraying the endotracheal tube cuff with benzydamine hydrochloride, 10% lidocaine, and 2% 1idocaine[J]. Anesth Analg, 2010, 111(4): 882
[8] Campos J H, Hallam E A, Van N T, et al. Devices for lung isolation used by anesthesiologists with limited thoracic experience: comparison of double-lumen endotracheal tube, Univent torque control blocker, and Arndt wire-guided endobronchialblocker[J].Anesthesiology, 2006, 104(2):261
[9] Hsu H T, Chou S H, Chen C L, et al. Left endobronchial intubation with a double-lumen tube using direct laryngoscopy or the Trachway?誖 video stylet[J].Anaesthesia, 2013, 68 (8): 851
[10] 黄萍, 魏闯. 纤维支气管镜引导下双腔支气管导管插管在胸外科手术麻醉中的应用[J]. 重庆医学, 2012, 41(7):661
[11] Kim H Y, Baek S H, Kim K H, et al. Endobronchial hemorrhage after intubation with double-lumen endotracheal tube in a patient with idiopathic thrombocytopenic purpura for minimally invasive cardiac surgery: a case report[J]. Korean J Anesthesiol, 2014, 66(1): 59

相似文献/References:

备注/Memo

备注/Memo:

作者简介 韦晓勇（1988-），住院医师，硕士，研究方向: 老年患者麻醉；通信作者：闵红星，E-mail:minhongxing@126.com。
更新日期/Last Update: 2019-03-01