喉罩辅助纤维支气管镜引导颈椎手术患者气管插管的临床观察

摘要

Objective:To investigate the clinical effect of orotracheal intubation guided by fiberoptic bronchoscope (FOB) through laryngeal mask airway unique TM (LMA-uniqueTM ) in patients undergoing cervical vertebral surgery.Method: Forty ASA Ⅰ-Ⅱ patients were randomly divided into orotracheal intubation guided by FOB through LMA-uniqueTM group (experimental group) and guided only by FOB group (control group), 20 cases in each group. The duration, numbers and success rate of tracheal intubation were recorded. 24 hours after surgery, complications about intubation were also recorded.Result: The average intubation time in the experimental group was less than that in the control group, one time endotracheal intubation success rate was significantly higher, and the difference between the two groups were all statistically significant(P<0.05). There were no significant difference about postoperative sore throat and hoarseness situation(P>0.05).Conclusion: The technique of orotracheal intubation guided by FOB through LMA-uniqueTM in patients undergoing cervical vertebral surgery, is safe and effective, and is a new way for anesthesiologists to solve difficult airway.%目的：观察一次性使用喉罩辅助纤维支气管镜(FOB)引导颈椎手术患者经口气管插管的临床效果。方法：选择ASA分级Ⅰ~Ⅱ级的择期颈椎手术患者40例，抽签法将患者随机分成喉罩辅助FOB引导气管插管组(试验组)和FOB组(对照组)，每组20例。分别记录两组患者气管插管的时间、次数和成功率。术后24 h随访患者有无声嘶和咽喉痛等情况。结果：试验组平均气管插管时间明显小于对照组，1次气管插管成功率明显高于对照组，两组比较差异有统计学意义(P<0.05)。两组患者术后咽喉部疼痛及声嘶情况比较差异无统计学意义(P>0.05)。结论：一次性使用喉罩辅助FOB引导颈椎手术患者经口气管插管，安全有效，为麻醉医师解决困难气道提供了新思路。