协和医学杂志

2012, v.3(03) 314-317

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Shikani可视插管镜与Macintosh喉镜引起心血管反应比较
Cardiovascular Responses of Intubation with Shikani Seeing Optical Stylet and Macintosh Laryngoscope

唐帅;易杰;黄宇光;
TANG Shuai,YI Jie,HUANG Yu-guang Department of Anesthesiology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Medical College,Beijing 100730,China

摘要(Abstract):

目的比较Shikani可视插管镜与Macintosh喉镜用于非困难气道患者的插管反应及插管并发症,评价Shi-kani可视插管镜的临床应用价值和前景。方法将40例拟在气管插管全身麻醉下接受妇科腹腔镜或开腹手术的女性患者随机分为两组,分别接受Shikani可视插管镜插管或Macintosh喉镜插管,记录插管前后的平均动脉压、心率、气管导管误入食道的次数、插管时间和咽痛、声嘶的发生率。结果两组患者人口统计学指标差异无统计学意义。Shikani组插管前后平均动脉压分别为(69.0±6.7)和(86.0±11.6)mmHg,心率分别为(70.8±8.8)和(78.3±9.9)次/min。Macintosh组插管前后平均动脉压分别为(69.3±9.0)和(93.6±8.9)mmHg,心率分别为(71.2±12.5)和(87.6±13.5)次/min。两组插管后平均动脉压及心率与插管前比较差异均有统计学意义(P<0.05),但Shikani组波动更小(P<0.05)。两组插管时间、咽痛、声嘶发生率比较差异均无统计学意义(P>0.05)。结论应用Shikani可视插管镜进行气管插管引起的心血管反应小于Macintosh喉镜。
Objective To compare the cardiovascular responses and complications to tracheal intubation with Shikani seeing optical stylet or Macintosh laryngoscope in non-difficult airway patients and to assess the clinical values and prospects of Shikani seeing optical stylet.Methods Forty female patients scheduled for gynecological laparoscopy or laparotomy under general anesthesia were randomly assigned to Shikani group or Macintosh group.Their mean arterial blood pressure and heart rate before and after intubation,esophageal intubation,time needed for intubating,and incidence of sore throat and hoarseness were recorded.Results No significant difference was found on the demographic data between these two groups.In the Shikani group,the mean arterial blood pressure and heart rate were(69.0±6.7) mm Hg and(70.8±8.8) bpm before intubation and(86.0±11.6) mm Hg and(78.3±9.9) bpm after intubation.In the Macintosh group,the mean arterial blood pressure and heart rate were(69.3±9.0) mm Hg and(71.2±12.5) bpm before intubation and(93.6±8.9) mm Hg and(87.6±13.5) bpm after intubation.Both groups had significantly higher blood pressure and heart rate after intubation(P<0.05),while such change was smaller in Shikani group(P<0.05).No significant difference was found in terms of intubation time,incidences of sore throat and hoarseness(P>0.05).Conclusion The cardiovascular response to Shikani seeing optical stylet is less severe than Macintosh laryngoscope.

关键词(KeyWords): Shikani可视插管镜;Macintosh喉镜;心血管反应
Shikani seeing optical stylet;Macintosh laryngoscope;cardiovascular response

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作者(Author): 唐帅;易杰;黄宇光;
TANG Shuai,YI Jie,HUANG Yu-guang Department of Anesthesiology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Medical College,Beijing 100730,China

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