目的：观察Disposcope 内窥镜与Macintosh 喉镜对用于声门显露困难气管插管患者术后吞咽痛的影响。方法：择期行经气管插管全麻患者36例，Macintosh喉镜显露Cormach－Lehane 分级Ⅲ或Ⅳ级，随机分为两组（n＝18），Disposcope 内窥镜组（D组）和Macintosh喉镜（M组）。记录声门显露率、插管成功情况和拔管后30 min、1、3 d吞咽痛VAS评分。结果：与M组相比，D组声门成功显露率与1次插管成功率明显增加（P＜0．05）；拔管后1 d，M组患者吞咽痛VAS评分高于D组（P＜0．05）；其余指标比较差异未见统计学意义（P＞0．05）。结论：与Macintosh喉镜相比，Disposcope 内窥镜用于声门显露困难患者气管插管可减少插管时间，提高1次插管成功率，有效降低术后患者吞咽痛的发生。%Objective To observe the influence of post-operative swallowing painwith Disposcope endoscope or Macintosh laryngoscope in patients with difficult visible glottis. Methods Thirty-six patients scheduled for elective surgery under general anesthesia whose glottis was not visible underMacintosh laryngoscope (according to Cormach-Lehane Grading of laryngoscopic view) were randomized into 2 groups (n = 18 each):Disposcope endoscope group (group D) and Macintosh laryngoscope group (group M). The rate of glottis exposure and successful intubation, swallowing pain at 30 min, 1, 3 d after extubation were observed. Results Compared with group M , the successful rate of glottis exposure and first intubation was significantly higher than thatin group D (P < 0.05). Swallowing pain VAS was higher in group M than in group D at 1d afterextubation (P < 0.05). Conclusions Compared with Macintosh laryngoscope , Disposcope endoscope in patients with difficult visible glottis could induce higher successful rate of glottis exposure and first intubation , shorter time of intubation and lower VAS of swallowing pain at 1d after extubation.
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