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发行周期:
月刊
主管单位:
上海市卫生健康委员会
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上海市医学会
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CN31-1366/R
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老年患者帝视可视内窥镜和直接喉镜经口气管内插管血流动力学比较
Comparison of Hemodynamic Responses in Elderly patients between Discopo and Macintosh laryngoscope for Orotracheal intubation

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DOI:
作者:
师小伟，刁枢，孙海峰,刘春亮
SHI Xiao-wei,DIAO-Shu,SUN Hai-feng，LIU-Chun-liang
作者单位:
上海市第七人民医院
Shanghai Number Seven Hospital
关键词:
帝视可视内窥镜;经口气管内插管;心血管反应
Discopo；Orotracheal intubation；Hemodynamic responses
摘要:
【摘 要】 目的：比较全身麻醉诱导后帝视可视内窥镜(Discopo)和直接喉镜（Macintosh）经口气管内插管时对老年患者血流动力学的影响，研究帝视可视内窥镜在老年患者中的应用价值。方法:选择ASAI～II级择期老年手术患者80例，随机分为2组，D组和M组，每组40例。常规方法行麻醉诱导后，分别使用Discopo和Macintosh实施经口气管内插管操作。观察和记录麻醉诱导前基础值(TO)、诱导后(T1)、插管即刻(T2)、插管后1min (T3)、3min (T4)及5min (T5)6个时点收缩压(SBP)、舒张压(DBP)、心率(HR)，心电图(ECG)和脉搏血氧饱和度(SpO2)。同时记录插管成功率，插管次数，插管时间及并发症。结果：与M组比较，D组插管总成功率，插管一次成功率，插管时间差异均无统计学意义(P＞0.05)，D组插管后咽痛发生率低于M组（P＜0.05）。与TO比较,T1时两组患者的BP和HR明显降低 （P＜0.05）。与T1比较,T2,T3时两组患者的BP和HR明显升高（P＜0.05）,且M组T4的BP及T4,T5的HR仍显著高于T1（P＜0.05）。与M组比较T2，T3，T4时D组患者的BP和HR均明显降低（P＜0.05）。结论：帝视可视内窥镜用于全身麻醉气管内插管较直接喉镜对老年患者血流动力学影响小。
Objective :To compare the hemodynamic responses to orotracheal intubation between Discopo and Macintosh laryngoscope in elderly patients after induction of general anesthesia. Methods:Eighty patients with ASA I～II undergoing elective surgery were equally randomized into two groups Discopo group (D), Macintosh group (M),each group of 40 patients.After the routine anesthesia induction,orotracheal intubation was performed with the Discopo and Macintosh.Blood pressure(BP) and heart rate(HR) were recorded before (baseline values) and after anesthesia intubation(postinduction values),at intubation and subsequently at 1,3,5 minutes as while as Electrocardiogram (ECG) and Blood oxygen saturation (SpO2). Success rate of intubation, Number of intubation and Intubation time were also recorded.Results:There were no significant differences in Success rate of intubation, Number of intubation and Intubation time (P＞0.05).D group did not happen any complications.After induction,BP and HR in both groups decreased significantly(P＜O．05)．Compared with T1，BP and HR at T2,T3 in both groups ，BP of M group at T4 and HR of M group at T4,T5 increased significantly(P＜O．05).BP and HR at T2,T3 ,T4 of D group decreased significantly compared with M group(P＜O．05).Conclusion:Orotracheal intubation with Discopo can be performed with less hemodynamic response

 

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