| 摘要: |
| 目的:比较TruviewTM EVO2光学喉镜和Macintosh直接喉镜经口气管插管时的血流动力学反应。方法:80例ASA分级Ⅰ～Ⅱ级，年龄18～65岁，拟在经口气管插管全身麻醉下实施择期手术的患者，随机分为T组和M组2组,每组各40例患者。在静脉麻醉诱导后，T组和M组分别应用TruviewTM EVO2光学喉镜和Macintosh直接喉镜实施经口气管插管操作。记录麻醉诱导前(T0)、气管插管前(T1)、气管插管即刻(T2)、气管插管后1 min(T3)、3 min(T4)、5 min(T5)时的心率(HR)、收缩压(SBP)、舒张压(DBP)、平均动脉压(MAP)及脉搏血氧饱和度(SpO2)，并记录喉部结构显露时间、插管完成时间。结果:两组患者除插管即刻(T2)的HR差异显著外(P<0.05)，观察期内其他各对应时间点的血流动力学指标无显著性差异(P>0.05)。两组患者喉部结构显露时间差异无统计学意义(P>0.05)；T组患者的气管插管完成时间较M组延长(P<0.05)，但无超过60 s者。结论:TruviewTM EVO2光学喉镜和Macintosh直接喉镜经口气管插管可引起相似的血流动力学反应。 |
| 关键词: TruviewTM EVO2光学喉镜 Macintosh直接喉镜 经口气管插管 血流动力学 |
| DOI：10.3724/SP.J.1008.2008.00954 |
| 投稿时间：2008-01-05修订日期：2008-03-10 |
| 基金项目: |
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| Hemodynamic responses to orotracheal intubation:a comparison between TruviewTM EVO2 optic laryngoscope and Macintosh direct laryngoscope |
| WANG Sen,LI Jin-bao*,NI Wen,DENG Xiao-ming |
| (Department of Anesthesiology,Changhai Hospital,Second Military Medical University,Shanghai 200433,China) |
| Abstract: |
| Objective:To compare the hemodynamic responses to orotracheal intubation between TruviewTM EVO2 optic laryngoscope and Macintosh direct laryngoscope.Methods: Eighty adult patients (ASA physical status Ⅰ-Ⅱ,aged 18-65 years) scheduled for elective surgery under general anesthesia requiring orotracheal intubation were randomly divided into 2 groups (n=40 each):T group and M group.After standard intravenous anesthetic induction,orotracheal intubation was performed with TruviewTM EVO2 optic laryngoscope or Macintosh direct laryngoscope.Non-invasive heart rate (HR),systolic blood pressure (SBP),diastolic blood pressure (DBP),mean arterial pressure (MAP) and SpO2 were recorded before(T0) and after anesthetic induction (T1),at intubation (T2),1 minutes (T3),3 minutes (T4) and 5 minute after intubation (T5).The laryngeal exposure period and intubation period were also recorded.Statistical analysis was performed using the Statistical Package for Social Sciences (SPSS) Version 13.0.Results: Except for HR at intubation (T2),there was no significant difference in the hemodynamic data at any other time points between the two groups.There was no significant difference in the laryngeal exposure period between the two groups.The intubation time in the T group was significantly longer than that in the M group (P<0.05),but no more than 60 seconds.Conclusion: The hemodynamic responses produced by orotracheal intubation are similar between TruviewTM EVO2 optic laryngoscope and Macintosh direct laryngoscope. |
| Key words: TruviewTM EVO2 optic laryngoscope macintosh direct laryngoscope orotracheal intubation hemodynamic responses |
