[1]于颜锋,张超成,黄展雄,等.TD-C可视喉镜辅助在喉罩置入中的应用[J].医学信息,2021,34(16):134-136.[doi:10.3969/j.issn.1006-1959.2021.16.037]
　YU Yan-feng,ZHANG Chao-cheng,HUANG Zhan-xiong,et al.Application of TD-C Visual Laryngoscope Assisted in Laryngeal Mask Placement[J].Medical Information,2021,34(16):134-136.[doi:10.3969/j.issn.1006-1959.2021.16.037]
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TD-C可视喉镜辅助在喉罩置入中的应用()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年16期
页码:
134-136
栏目:
临床研究
出版日期:
2021-08-15

文章信息/Info

Title:
Application of TD-C Visual Laryngoscope Assisted in Laryngeal Mask Placement
文章编号:
1006-1959（2021）16-0134-03
作者:
于颜锋; 张超成; 黄展雄; 等
（暨南大学附属河源市人民医院麻醉科，广东 河源 517000）
Author(s):
YU Yan-feng; ZHANG Chao-cheng; HUANG Zhan-xiong; et al.
(Department of Anesthesiology,Heyuan People’s Hospital,Jinan University,Heyuan 517000,Guangdong,China)
关键词:
喉罩置入; 全身麻醉; 可视喉镜; 应激反应
Keywords:
Laryngeal mask insertion; General anesthesia; Visual laryngoscope; Stress response
分类号:
R614
DOI:
10.3969/j.issn.1006-1959.2021.16.037
文献标志码:
A
摘要:
目的 探究可视喉镜辅助在全身麻醉喉罩置入中的应用，分析其可行性。方法 选择2017年3月~2020年5月我院拟在喉罩置入全身麻醉下进行手术的患者64例，采用随机数字表法分为Ⅰ组和Ⅱ组，各32例。Ⅰ组采用传统置入，Ⅱ组在TD-C可视喉镜辅助下置入；比较两组喉罩置入成功总时间、气道峰压、口咽漏气压、一次置入喉罩成功率、置入喉罩前后1 sMAP、HP、喉罩表面血迹比例、术后咽痛发生率及光纤Campbell分级情况。结果 两组置入喉罩前后1 sMAP、HP、喉罩表面血迹比例及术后咽痛发生率比较，差异无统计学意义（P＞0.05）；Ⅰ组喉罩置入成功总时间、首次置入喉罩成功率及口咽漏气压均小于Ⅱ组，差异有统计学意义（P＜0.05）；Ⅰ组气道峰压大于Ⅱ组，差异有统计学意义（P＜0.05）；两组光纤CampbellⅠ级例数比较，差异无统计学意义（P＞0.05）；Ⅰ组光纤CampbellⅡ级比例少于Ⅱ组，CampbellⅢ级比例高于Ⅱ组，差异有统计学意义（P＜0.05）。结论 可视喉镜可以提升全身麻醉喉罩置入患者口咽漏气压，降低气道峰压，提高一次喉罩置入的成功率，提高喉罩位置的优良率，安全性良好，值得临床应用。
Abstract:
Objective To explore the application of visual laryngoscope assisted in general anesthesia laryngeal mask placement and analyze its feasibility.Methods From March 2017 to May 2020, 64 patients in our hospital who planned to undergo surgery under general anesthesia with laryngeal mask implantation were selected. They were divided into group I and group II by random number table method, with 32 cases in each group.Traditional implantation was used in group Ⅰ, and assisted implantation in group Ⅱ under TD-C visual laryngoscope;The total successful time of laryngeal mask insertion, peak airway pressure, oropharyngeal leak pressure, success rate of laryngeal mask insertion at one time, 1 sMAP before and after laryngeal mask insertion, HP, ratio of bloodstains on the laryngeal mask surface, and postoperative sore throat were compared between the two groups Incidence rate and fiber Campbell classification.Results There was no statistically significant difference between the two groups before and after the laryngeal mask was placed in 1 sMAP, HP, the proportion of blood on the surface of the laryngeal mask, and the incidence of postoperative sore throat (P>0.05);The total successful time of laryngeal mask insertion, the success rate of first laryngeal mask insertion and oropharyngeal leak air pressure in group Ⅰ were lower than those in group Ⅱ,the difference was statistically significant (P<0.05);The peak airway pressure of group Ⅰ was greater than that of group Ⅱ, the difference was statistically significant(P＜0.05);There was no statistically significant difference in the number of fiber Campbell Ⅰ cases between the two groups (P>0.05);The ratio of Fiber Campbell Ⅱ in group I was less than that in group Ⅱ, and the proportion of Campbell Ⅲ was higher than that in group Ⅱ,the difference was statistically significant(P<0.05).Conclusion Visual laryngoscope can increase oropharyngeal leakage air pressure in patients with general anesthesia laryngeal mask.It reduces the peak airway pressure, improves the success rate of a laryngeal mask placement, and improves the good rate of laryngeal mask position. It has good safety and is worthy of clinical promotion.

参考文献/References:

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更新日期/Last Update: 1900-01-01