北京大学医学部机构知识库
Advanced  
IR@PKUHSC  > 北京大学第三临床医学院  > 麻醉科  > 期刊论文
学科主题: 麻醉学
题名:
Truview EVO 2喉镜与 Macintosh 喉镜用于颈椎活动受限患者气管插管的对比研究
其他题名: Comparison Between Truview EVO2 and Macintosh Laryngoscopes in Endotreacheal Intubation for Patients with Restricted Neck Movement
作者: 张耕; 韩永正; 李民; 王军; 郭向阳
关键词: 困难气道 ; Truview EVO2 喉镜 ; Macintosh喉镜 ; 颈椎活动受限 ; Difficult airway ; Truview EVO2 laryngoscope ; Macintosh laryngoscope ; Neck rigidity
刊名: 中国微创外科杂志
发表日期: 2014
DOI: 10.3969/j.issn.1009-6604.2014.12.003
期: 12, 页:1071-1073
收录类别: 中国科技核心期刊 ; CSCD
文章类型: Journal Article
摘要: 目的:评价Truview EVO2喉镜与Macintosh喉镜用于颈椎活动受限患者气管插管的临床应用情况。方法择期颈椎活动受限经口气管插管全麻手术49例,静脉麻醉诱导后,随机先后使用Truview EVO2喉镜与Macintosh喉镜显露喉部,并采用喉部暴露条件好的喉镜行气管插管。比较2种喉镜Cormack-Lehane(C-L)分级,喉部结构显露时间和声门显露时血流动力学改变。结果 Truview EVO2喉镜组C-L分级显著优于Macintosh喉镜组(Z=-5.488,P=0.000),喉部结构显露时间明显长于Macintosh喉镜组[(15.9±6.7)s vs.(12.3±4.5)s,t=4.304,P=0.000]。2种喉镜声门显露时HR、SBP、MAP变化无统计学差异(P>0.05)。结论 Truview EVO2喉镜用于颈椎活动受限患者气管插管效果明显优于Macintosh喉镜,可提高气管插管成功率,对于部分困难气道患者具有较好的应用价值。 Objective To compare the clinical application between Truview EVO 2 and Macintosh laryngoscopes in endotreachal intubation for patients with restricted neck movement. Methods Forty-nine patients scheduled for elective surgery under general anesthesia requiring orotracheal intubation were enrolled. After intravenous anesthetic induction, orotracheal intubation was randomly performed by an experienced anesthesiologist with both Truview EVO 2 and Macintosh laryngoscopes. Then the patient was intubated with the laryngoscope with better view. Parameters were recorded, including Cormack-Lehane ( C-L) grade of laryngeal view, the laryngeal exposuring time, and hemodynamic changes during intubation. Results Better C-L grade of laryngeal view was achieved in the Truview EVO2 laryngoscope as compared with the Macintosh laryngoscope (Z=-5.488, P=0.000).The laryngeal exposuring time of Truview EVO2 laryngoscopy was longer than that of Macintosh laryngoscope [(15.9 ±6.7) s vs.(12.3 ±4.5) s, t=4.304, P =0.000].There was no significantly difference in hemodynamic changes between Truview EVO 2 and Macintosh laryngoscopes(P>0.05). Conclusions In patients with limitation of neck movement, the Truview EVO2 laryngoscope is more feasible and effective than Macintosh laryngoscope in orotracheal intubalion. The Truview EVO2 laryngoscope is a valuable tool for managing difficult airway for restricted neck movements.
语种: 中文
原文出处: 查看原文
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/72246
Appears in Collections:北京大学第三临床医学院_麻醉科_期刊论文

Files in This Item:

There are no files associated with this item.


作者单位: 北京大学第三医院麻醉科,北京,100191

Recommended Citation:
张耕,韩永正,李民,等. Truview EVO 2喉镜与 Macintosh 喉镜用于颈椎活动受限患者气管插管的对比研究[J]. 中国微创外科杂志,2014(12):1071-1073.
Service
Recommend this item
Sava as my favorate item
Show this item's statistics
Export Endnote File
Google Scholar
Similar articles in Google Scholar
[张耕]'s Articles
[韩永正]'s Articles
[李民]'s Articles
CSDL cross search
Similar articles in CSDL Cross Search
[张耕]‘s Articles
[韩永正]‘s Articles
[李民]‘s Articles
Related Copyright Policies
Null
Social Bookmarking
Add to CiteULike Add to Connotea Add to Del.icio.us Add to Digg Add to Reddit
所有评论 (0)
暂无评论
 
评注功能仅针对注册用户开放,请您登录
您对该条目有什么异议,请填写以下表单,管理员会尽快联系您。
内 容:
Email:  *
单位:
验证码:   刷新
您在IR的使用过程中有什么好的想法或者建议可以反馈给我们。
标 题:
 *
内 容:
Email:  *
验证码:   刷新

Items in IR are protected by copyright, with all rights reserved, unless otherwise indicated.

 

 

Valid XHTML 1.0!
Copyright © 2007-2017  北京大学医学部 - Feedback
Powered by CSpace