国际麻醉学与复苏杂志   2011, Issue (4): 6-6
    
Airtraq喉镜和Macintosh直接喉镜在经口气管插管时血流动力学的比较
王勇, 马武华, 黎玉辉, 王可佳, 罗艳霞1()
1.广州中医药大学第一附属医院
Comparative study of hemodynamic responses to orotracheal intubation between using Airtraqlaryngoscope and Macintosh laryngoscope
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摘要:

目的:比较Airtraq视频喉镜和Macintosh直接喉镜经口气管插管时心血管反应。方法:40例拟择期经口气管插管全麻下手术的患者,随机分为两组,Airtraq组(A组)和Macintosh喉镜组(M组),每组20例。观察麻醉诱导前、诱导后、插管即刻、插管后1min、3min时的心率、血压和的二重指数(Rate pressure product,RPP)。结果:两组声门暴露时间差异无统计学意义(P>0.05),导管置入时间A组短于M组(P<0.01)。两组诱导后的心率、血压和RPP值都较诱导前的基础值明显下降(P<0.05),插管即刻、插管后1 min的心血管指标较诱导后明显增高(P<0.05)。A组插管后3min心血管指标与诱导后比较无统计学意义(P>0.05),而M组3min时心血管指标与诱导后比较仍有统计学意义(P<0.05)。结论:与Macintosh直接喉镜相比,应用Airtraq视频喉镜行经口气管插管可减少插管置入时间,且血流动力学反应较轻。

关键词: Airtraq视频喉镜 Macintosh直接喉镜 经口气管插管 血流动力学反应
Abstract:

Objective:To compare the hemodynamic responses to orotracheal intubation between Airtraq laryngoscope and Macintosh laryngoscope. Methods: 40 patients scheduled for surygery under general anesthesia requiring orotracheal intubation were randomly allocated to undergo intubation using Airtraq (group A,n=20) or Macintosh (group M,n=20) laryngoscope. The following data were recorded and analyzed: glottic exposure time, tracheal intubation time, blood pressure(BP) and heart rate(HR) before and after anesthetic induction, at intubation and thereafter at 1 and 3 minute. The rate pressure product(RPP) at each measuring time point was calculated. Results:There was no significant difference in the glottic exposure time between the two groups,but the intubation time in M group were significantly longer than that in A group.Compared with base value preinduction,BP,HR,and RPP were significantly decreased in both groups.Glottic exposure and tracheal intubation caused significant increases in BP,HR,and RPP as compared with postinduction values.In group M, BP,HR and RPP at 3 min after indubation were significant higher than that with base value preinduction. Conclusion:In comparison to the Macintosh laryngoscope, tracheal intubation with the Airtraq laryngoscope resulted in less alterations in hemodynamic responses.

Key words: Airtraqlaryngoscope; Macintosh laryngoscope; Orotracheal intubation hemodynamic responses