[1]袁 帅,王学坤,陈显宇.Shikani可视喉镜与Mc Coy喉镜用于老年患者全身麻醉气管插管效果比较[J].陕西医学杂志,2020,49(2):157-161.
　YUAN Shuai,WANG Xuekun,CHEN Xianyu..Comparison of efficacy of Shikani laryngoscope and Mc Coy laryngoscope on endotracheal intubation under general anesthesia in elderly patients[J].,2020,49(2):157-161.
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Shikani可视喉镜与Mc Coy喉镜用于老年患者全身麻醉气管插管效果比较
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
49
期数:
2020年2期
页码:
157-161
栏目:
临床研究
出版日期:
2020-02-05

文章信息/Info

Title:
Comparison of efficacy of Shikani laryngoscope and Mc Coy laryngoscope on endotracheal intubation under general anesthesia in elderly patients
文章编号:
DOI:〖HT5K〗10.3969/j.issn.10007377.2020.02.008
作者:
袁 帅; 王学坤; 陈显宇
四川省林业中心医院麻醉科(成都 610081)
Author(s):
YUAN Shuai; WANG Xuekun; CHEN Xianyu.
Department of Anesthesia,Sichuan Forestry Central Hospital(Chengdu 610081)
关键词:
Shikani可视喉镜;  Mc Coy喉镜;  全身麻醉;  气管插管;  心率变异性
Keywords:
Shikani visual laryngoscope;  Mc Coy laryngoscope;  General anesthesia;  Tracheal intubation;  Heart rate variability
分类号:
R614.2
文献标志码:
A
摘要:
目的:了解老年患者全身麻醉气管插管时分别使用Shikani可视喉镜、Mc Coy喉镜的效果差异。方法:收集进行全身麻醉气管插管的老年患者179例,根据其气管插管方法不同分为对照组(89例Mc Coy喉镜)和试验组(90例Shikani可视喉镜)。比较两组患者插管前、插管后1 min、插管后常规监测指标(血氧饱和度、平均动脉压、心率)和心率变异指标(心率变异性、标准化低频功率、高频段、低频段/高频段)的统计学差异,比较两组患者插管过程中不良反应发生率。结果:不同喉镜应用于全身麻醉气管插管手术后比较,两组患者插管后MAP、HR两项血流动力学指标比较有统计学差异(P<0.05),试验组各项指标均优于对照组; 两组患者LF、HF、LF/HF三项心率变异性指标比较有统计学差异(P<0.05),试验组患者均优于对照组患者; 试验组患者呕吐、反流或反吸、咽黏膜损伤发生率显著低于对照组患者(P<0.05)。结论:老年患者全身麻醉气管插管时,Shikani可视喉镜相比Mc Coy喉镜具有一定优势,患者因插管操作而受到的影响相对更小,心率变化也相对更小。
Abstract:
Objective:To investigate the effect of Shikani laryngoscope and Mc Coy laryngoscope on endotracheal intubation under general anesthesia in elderly patients.Methods:Retrospective analysis was performed on 179 elderly patients undergoing tracheal intubation under general anesthesia,who were divided into the control group(89 cases of Mc Coy laryngoscopy)and the experimental group(90 cases of Shikani laryngoscopy)according to their tracheal intubation methods.The statistical differences between the two groups of patients in routine monitoring indexes(blood oxygen saturation,mean arterial pressure,heart rate)and heart rate variation indexes(heart rate variability,standardized low-frequency power,high-frequency,low-frequency/high-frequency)before intubation,one minute after intubation and after intubation were compared,and the incidence rate of adverse reactions during intubation in the two groups were compared.Results:All the laryngoscopic applications were compared after general anesthesia endotracheal intubation,and the hemodynamic indexes MAP and HR were significantly different between the two groups(P<0.05).All the indexes in the experimental group were better than those in the control group.There were significant differences in LF,HF,and LF/HF between the two groups(P<0.05),and patients in the experimental group were superior to those in the control group.The incidence rate of vomiting,reflux or suction,and pharyngeal mucosal injury in the experimental group was significantly lower than that in the control group(P<0.05).Conclusions:When endotracheal intubation is performed under general anesthesia in elderly patients,Shikani visual laryngoscope has certain advantages over Mc Coy laryngoscope.Patients are less affected by endotracheal intubation,and their heart rate changes are less.

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更新日期/Last Update: 2020-03-25