[1]朱芳芸,张霞婧,朱明霞,等.弹性引导条联合视频喉镜在全麻剖宫产中的应用*[J].陕西医学杂志,2020,49(8):944-946963.[doi:DOI:10.3969/j.issn.1000-7377.2020.08.008]
　ZHU Fangyun,ZHANG Xiajing,ZHU Mingxia,et al.Application of gum elastic bougie combined with video laryngoscope in caesarean section under general anesthesia[J].,2020,49(8):944-946963.[doi:DOI:10.3969/j.issn.1000-7377.2020.08.008]
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弹性引导条联合视频喉镜在全麻剖宫产中的应用*
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
49
期数:
2020年8期
页码:
944-946963
栏目:
临床研究
出版日期:
2020-08-05

文章信息/Info

Title:
Application of gum elastic bougie combined with video laryngoscope in caesarean section under general anesthesia
作者:
朱芳芸; 张霞婧; 朱明霞; 冯 燕△; 邵勇平
西安市第四医院麻醉科(西安710004)
Author(s):
ZHU Fangyun; ZHANG Xiajing; ZHU Mingxia; et al.
Department of Anesthesiology,Xi'an No.4 Hospital(Xi'an 710004)
关键词:
弹性引导条;  视频喉镜;  产妇;  剖宫产术;  全身麻醉;  气管插管
Keywords:
Gum elastic bougie;  Video laryngoscope;  Parturient;  Caesarean section;  General anesthesia;  Tracheal intubation
分类号:
R614.2
DOI:
DOI:10.3969/j.issn.1000-7377.2020.08.008
文献标志码:
A
摘要:
目的:观察弹性引导条联合视频喉镜在产妇全麻剖宫产中的应用。方法:足月孕妇60例随机法分为对照组和试验组,对照组采用视频喉镜插管,试验组采用弹性引导条联合视频喉镜插管。记录两组患者无创动脉血压(MAP)、心率(HR)、血氧饱和度(SpO2)在T0(麻醉诱导前)、T1(插管即刻)、T2(插管后1 min)、T3(插管后2 min)的变化,插管时间、首次插管成功例数、插管次数超过2次成功例数和气管插管不良反应,观察新生儿出生后Apgar评分。结果:与T0比较,两组患者在各时间MAP升高和HR增快(P<0.05),与T1比较,在T2和T3时间点MAP下降和HR减慢(P<0.05)。与对照组比较在T1和T2时间点,试验组MAP变化幅度小,HR变化也慢(P<0.05)。与对照组比较,试验组插管时间明显减少,首次插管成功例数也明显提高(P<0.05); 试验组插管不良反应发生率低于对照组(P<0.05),试验组新生儿出生后1 min和5 min Apgar评分高于对照组(P<0.05)。结论:弹性引导条联合视频喉镜可明显提高产妇全麻气管插管首次成功率,降低气管插管不良反应。
Abstract:
Objective:To assess the application of gum elastic bougie combined with video laryngoscope in caesarean section under general anesthesia.Methods:60 full-term pregnant women were randomly divided into control group and experimental group,30 cases each.The control group was intubated with video laryngoscope,and the experimental group was intubated with gum elastic bougie and video laryngoscope.The MAP,HR and SpO2 were recorded at T0(before intubation),T1(intubation),T2(1 minute after intubation),T3(2 minutes after infubation).The duration of intubation,the number of successful intubation cases in the first time,the number of successful intubation cases more than 2 times,and adverse reactions of tracheal intubation were also recorded.The Apgar scores of the two groups after birth were observed.Results:MAP and HR of the two groups increased at other time points compared with those at T0 time point(P<0.05),but decreased at T2 and T3 compared with those at T1 time point(P<0.05).Compared with the control group,MAP and HR in the experimental group changed little and slowly at T1 and T2 time points(P<0.05),and the duration of intubation was significantly reduced,and the number of successful intubation cases in the first intubation was also significantly increased(P<0.05).The incidence of adverse reactions of intubation in the experimental group was lower than that in the control group(P<0.05).At 1 and 5 minutes after birth,the Apgar scores of the newborns in the experimental group were higher than those in the control group(P<0.05).Conclusion:Gum elastic bougie combined with video laryngoscope can obviously improve the first success rate of tracheal intubation under general anesthesia for pregnant women and reduce adverse reactions of tracheal intubation.

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备注/Memo

备注/Memo:
*国家自然科学基金资助项目(81903261)；西安市第四医院孵化基金资助项目(LH-4)
更新日期/Last Update: 2020-08-04