Meiklejohn B H, Coley S
Department of Anaesthesia, Leicester Royal Infirmary.
Br J Anaesth. 1989 Sep;63(3):283-6. doi: 10.1093/bja/63.3.283.
The catecholamine and cardiovascular responses to nasal intubation of the trachea with and without laryngoscopy have been compared in 23 patients allocated randomly to each treatment. Arterial pressure, heart rate and plasma concentrations of adrenaline and noradrenaline were measured before and after induction and at 1, 3 and 5 min after intubation of the trachea. There were significant increases in systolic and diastolic pressures after tracheal intubation in both groups. The values at 1 min after intubation were significantly higher in the group undergoing laryngoscopy and intubation compared with the group undergoing blind nasal intubation.
对23名随机分配到每种治疗方法的患者，比较了有无喉镜检查时经鼻气管插管的儿茶酚胺和心血管反应。在诱导前、诱导后以及气管插管后1、3和5分钟测量动脉压、心率以及肾上腺素和去甲肾上腺素的血浆浓度。两组患者气管插管后收缩压和舒张压均显著升高。与盲目经鼻插管组相比，接受喉镜检查和插管组在插管后1分钟时的数值显著更高。
