可视喉镜在先天性舌根囊肿患儿手术麻醉中的应用

doi:10.6040/j.issn.1673-3770.0.2021.056

摘要/Abstract

摘要： 目的探讨可视喉镜与传统喉镜在先天性舌根囊肿患儿麻醉气管插管中的临床效果和安全性。方法选择拟于气管插管全麻下行舌根囊肿切除术的患儿(Ⅰ~Ⅱ度呼吸困难)72例,随机分为传统喉镜组(M组)与可视喉镜组(G组)。记录两组患儿气管插管时间、一次插管成功率、插管失败率、声门显露程度、插管前与插管时SpO₂、HR及MAP的变化及气道损伤等情况。结果 G组气管插管时间短于M组,一次插管成功率高于M组,插管失败率及气道损伤均低于M组(P<0.05);G组声门显露显著优于M组(P<0.05)。插管时HR与MAP明显升高(P<0.05),其中M组升高更明显(P<0.05)。结论对于先天性舌根囊肿造成Ⅰ~Ⅱ度呼吸困难者,应用可视喉镜可以缩短插管时间,改善声门显露等级,提高一次插管成功率,最大限度的保证了患儿的安全,值得临床推广使用。

关键词: 可视喉镜, 气管插管, 舌根囊肿, 儿童

Abstract: Objective To explore the clinical effect and safety of visual laryngoscope and traditional laryngoscope in tracheal intubation in children with congenital tongue base cyst. Methods Seventy-two children(dyspnea grade I-II)scheduled for resection of tongue base cyst were randomly divided into two groups: traditional laryngoscope group(group M)and visual laryngoscope group(group G). The intubation time, success rate of intubation, failure rate of intubation, glottic exposure and airway injury were recorded. The saturation of pulse oxygen(SpO₂), heart rate(HR)and mean arterial pressure(MAP)before and during intubation were observed. Results The tracheal intubation time of group G was shorter than that of group M, the success rate of one-time intubation was higher than that of group M, the intubation failure rate and airway injury of group G were lower than those of group M(P<0.05); HR and MAP increased significantly during intubation, especially in group M. Conclusion For children with Ⅰ-Ⅱ mild dyspnea caused by congenital tongue base cyst,the application of video laryngoscope in endotracheal intubation can shorten the time of endotracheal intubation, improve glottic exposure level, improve the success rate of one-time intubation, and ensure the safety of children to the greatest extent. It was worthy of clinical application.

Key words: Visual laryngoscope, Tracheal intubation, Tongue base cyst, Child

中图分类号:

R767

赵海涛, 王亚芳, 赫莉, 陈文静, 邢民者, 郑文娟,阎玉彦,刘晓峰. 可视喉镜在先天性舌根囊肿患儿手术麻醉中的应用[J]. 山东大学耳鼻喉眼学报, 2022, 36(1): 106-110.

ZHAO Haitao, WANG Yafang, HE LI, CHEN Wenjing, XING Minzhe, ZHENG Wenjuan, YAN Yuyan, LIU Xiaofeng. Application of visual laryngoscope in surgical anesthesia of children with congenital tongue base cyst[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 106-110.

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