[Shikani可视探条与Macintosh喉镜用于双腔气管插管的比较]

[Comparison of Shikani optical stylet and Macintosh laryngoscope for double-lumen endotracheal tube intubation].

作者信息

Xu Ting, Li Min, Guo Xiang-yang

机构信息

Department of Anesthesiology, Peking University Third Hospital, Beijing 100191, China.

出版信息

Beijing Da Xue Xue Bao Yi Xue Ban. 2015 Oct 18;47(5):853-7.

PMID:26474630

Abstract

OBJECTIVE

To compare the efficacy and safety of Shikani (S)optical stylet and Macintosh(M) laryngoscope for double-lumen endotracheal tube intubation.

METHODS

In the study, 60 patients undergoing elective thoracic surgery were randomly allocated to group S(n=30) and group M (n=30). After general anesthesia induction, the patients in group S and group M were intubated double-lumen endotracheal tube (DLT) by Shikani optical stylet (SOS) and macintosh laryngoscope respectively. Intubation time, intubation attempts, cuff broken and oral mucosal or dental injury were recorded; Blood pressure and heart rate at baseline (T0), at the time of intubaiton onset (T1), 1 minute after intubaiton (T2), 3 minutes after intubation (T3) and 5 minutes after intubation (T3) were also recorded; Hoarseness and throat sore of the patients 24 hours after surgery were evaluated.

RESULTS

The intubaiton time with the SOS was faster than with the Macintosh [(37.4±9.7) s vs. (43.9±13.7) s, P=0.039] and the first attempt success rate (87% vs. 80%, P=0.488) did not differ between the groups; No tube cuff broke in both the groups; Group S had fewer patients who suffered oral mucosal or dental injury than group M (8 vs.2, P=0.038); The blood pressure and heart rate at T0,T1,T2,T3 and T4 did not differ between the groups; Throat sore (7 vs.10, P=0.390) and hoarseness (5 vs.7, P=0.519) incidence did not differ between the groups.

CONCLUSION

By comparison of the Macintosh laryngoscope, the SOS provides faster DLT intubation and causes less oral Mucosal or dental injury.

摘要

目的

比较Shikani（S）可视探条与Macintosh（M）喉镜用于双腔气管插管的有效性和安全性。

方法

本研究中，60例行择期胸科手术的患者被随机分为S组（n = 30）和M组（n = 30）。全身麻醉诱导后，S组和M组患者分别使用Shikani可视探条（SOS）和Macintosh喉镜进行双腔气管插管（DLT）。记录插管时间、插管尝试次数、气管导管套囊破裂情况及口腔黏膜或牙齿损伤情况；记录基础值（T0）、插管开始时（T1）、插管后1分钟（T2）、插管后3分钟（T3）和插管后5分钟（T4）时的血压和心率；评估术后24小时患者的声音嘶哑和咽痛情况。

结果

SOS组的插管时间比Macintosh组更快[（37.4±9.7）秒 vs. （43.9±13.7）秒，P = 0.039]，两组的首次尝试成功率无差异（87% vs. 80%，P = 0.488）；两组均未出现气管导管套囊破裂；S组口腔黏膜或牙齿损伤的患者少于M组（8例 vs. 2例，P = 0.038）；两组在T0、T1、T2、T3和T4时的血压和心率无差异；两组的咽痛发生率（7例 vs. 10例，P = 0.390）和声音嘶哑发生率（5例 vs. 7例，P = 0.519）无差异。