【摘要】 目的通过改进经口紧急气管插管的持喉镜方式,探讨经口紧急气管插管操作中提高插管成功率及缩短插管用时的方法。方法经口紧急气管插管患者146例,随机分为传统持喉镜方式组和改进持喉镜方式组,比较两组间首次插管成功率、困难气道插管成功率、插管用时、机械性损伤并发症发生率。结果传统持喉镜方式组69例,改进持喉镜方式组77例;改进组首次插管成功率[71例(92.2%)比56例(81.2%)]、困难气道插管成功率[13例(72.2%)比3例(23.1%)]均高于传统组,差异有统计学意义(P<0.05);改进组插管用时[(28.3±3.5)s比(35.6±4.1)s]及机械性损伤并发症发生率[1例(1.3%)比6例(8.7%)]均低于传统组,差异有统计学意义(P<0.05)。结论通过改进持喉镜方式,可提高首次插管成功率以及困难气道的插管成功率,缩短插管用时,减少机械性性损伤并发症的发生。更多还原

【Abstract】 Objective To explore the methods to improve the success rate of intubation and reduce the intubation time consuming in emergency orotracheal intubation by improving the method of holding laryngoscope. Methods A total of 146 patients needed orotracheal intubation were randomly divided into a traditional group who was intubated with traditional method of holding laryngoscope and an improved group who was intubated with improved method of holding laryngoscope. The success rate of intubation for the first time,success rate in difficult intubation,intubation time consuming,the incidence of complications by mechanical injury between two groups were compared. Results Sixty-nine petients received traditional method of holding laryngoscope and 77 petients received improvement method of holding laryngoscope. The success rate for the first time intubation [71( 92. 2%) vs. 56( 81. 2%) ] and success rate in difficult intubation [13( 72. 2%) vs. 3( 23. 1%) ] of the improved group were higher than those of the traditional group. The differences were statistically significant( all P < 0. 05). The intubation time consuming[( 28. 3 ± 3. 5) s vs.( 35. 6 ± 4. 1) s]and the incidence of complications by mechanical injury [1( 1. 3%)vs. 6( 8. 7%) ] of the improved group were lower than those of the traditional group with statistical significance( all P < 0. 05). Conclusion The success rate of intubation for the first time and the difficult intubation can be improved effectively,and the intubation time consuming and the incidence of complications by mechanical injury can be reduced effectively by improving the method of holding laryngoscope.更多还原