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中国成年人鼻咽气道长度的评估。

Estimation of the length of nasopharyngeal airway in Chinese adults.

作者信息

Hwang C L, Luu K C, Wu T J, Jaing C J, Lin Y S, Luciana S, Chao C C

机构信息

Department of Anesthesiology, National Taiwan University Hospital.

出版信息

Ma Zui Xue Za Zhi. 1990 Mar;28(1):49-54.

PMID:2352464
Abstract

Nasopharyngeal airway should be placed to reach the tongue base without contact with the epiglottis. The correct length of the nasopharyngeal airway in Chinese adults was estimated in seventy-three surgical patients under general anesthesia (30 males and 43 females, aged 18-82 yr). Measurements were performed with a soft, uncuffed, ID 6.0 mm endotracheal tube (Portex) introduced through the nasopharyngeal passage. The proper tip placement of the tube was evaluated under direct laryngoscopy. The Nostril-epiglottis distance (N-E distance) is 15.31 +/- 1.09 cm (mean +/- SD) for all cases, 16.03 +/- 1.04 cm for male cases and 14.97 +/- 0.95 cm for female cases. There are correlation between the N-E distance and the height (p less than 0.001, r = 0.41), and between the N-E distance and the N-A distance (The distance from nose tip to mandibular angle) (p less than 0.004, r = 0.324). Linear regression analysis relating the N-E distance to the height and the N-E distance to the N-A distance were also statistically significant (p less than 0.001 and p less than 0.01, respectively).

摘要

应放置鼻咽通气道,使其抵达舌根且不接触会厌。在73例全身麻醉下的外科手术患者(30例男性和43例女性,年龄18 - 82岁)中估计中国成年人鼻咽通气道的正确长度。使用一根柔软、无套囊、内径6.0 mm的气管内导管(Portex)经鼻咽通道插入进行测量。在直接喉镜检查下评估导管的正确尖端位置。所有病例的鼻孔至会厌距离(N - E距离)为15.31±1.09 cm(平均值±标准差),男性病例为16.03±1.04 cm,女性病例为14.97±0.95 cm。N - E距离与身高之间存在相关性(p < 0.001,r = 0.41),且N - E距离与鼻尖至下颌角距离(N - A距离)之间也存在相关性(p < 0.004,r = 0.324)。将N - E距离与身高以及N - E距离与N - A距离进行线性回归分析也具有统计学意义(分别为p < 0.001和p < 0.01)。

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引用本文的文献

1
Estimation of nares-to-epiglottis distance for selecting an appropriate nasopharyngeal airway.估算鼻孔至会厌的距离以选择合适的鼻咽通气道。
Medicine (Baltimore). 2019 Mar;98(10):e14832. doi: 10.1097/MD.0000000000014832.
2
The nasopharyngeal airway: dispelling myths and establishing the facts.鼻咽气道:破除 myths 并确立事实。 (这里“myths”结合语境推测为“错误观念、误解”之类的意思,但题目要求不添加解释,所以保留英文)
Emerg Med J. 2005 Jun;22(6):394-6. doi: 10.1136/emj.2004.021402.