Disposcope内镜与TESL-110电子视频喉镜在困难气道中的应用效果

摘要

Objective To explore the feasibility of Disposcope endoscopy and TESL-110electronic video laryngoscope joint applied in the difficult airway. Methods 60 patients,who would conducted endotracheal intubation general anes-thesia that conformed to domestic experts make difficult airway diagnostic criteria in preoperative evaluation and Wil-son classification at level 3 and above by using Macintosh laryngoscope after anesthesia induction,were selected and randomly divided into the TESL-110 electronic video laryngoscope and Disposcope endoscopyjoint group (group T) and the Macintosh laryngoscope group (group M).The classification of throat revealed,the incidence of pharyngeal hemor-rhage,tooth gum damage rate,the situation of switch to other intubation method or the use of laryngeal mask,the rate of intubation success in the first time,the number of intubation and intubation time between two groups was compared. Results The time of intubation of Group T was shorter than that of group M,the number of intubation of Group T was less than that of group M,with significant difference (P<0.05).The rate of intubation success in the first time,the inci-dence of pharyngeal hemorrhage,tooth gum damage rate,the rate of switch to other intubation method or the use of la-ryngeal mask in Group T was lower than that in group M,with significant difference(P<0.05).Compared with the Mactin-tosh laryngoscope,there was significant difference of the classification of throat revealed in TESL-110 electronic video laryngoscope,TESL-110 electronic video laryngoscope and Disposcope endoscopy joint applied (P<0.05).There was sig-nificant difference in the classification of throat revealed between TESL-110 electronic video laryngoscope and TESL-110 electronic video laryngoscope and Disposcope endoscopy joint applied(P<0.05). Conclusion Disposcope endoscopy and TESL-110 electronic video laryngoscope joint applied is a safe,fast and effective solution channel for difficult airway.%目的：探讨Disposcope内镜与TESL-110电子视频喉镜联合应用于困难气道的可行性。方法选取本院2014年6月~2015年7月拟行气管内插管全身麻醉且在麻醉诱导后使用Macintosh喉镜喉显露的Wilson分级≥3级的60例患者作为研究对象，随机分为Disposcope内镜与TESL-110电子视频喉镜联合组（T组）和Macintosh喉镜组（M组）。比较两组的喉显露分级、咽部出血及牙齿牙龈损伤率、改用其他插管方法或使用喉罩率、首次插管成功率、插管次数及气管插管时间。结果 T组的插管时间显著短于M组，插管次数显著少于M组，差异有统计学意义（P<0.05）。 T组的首次插管成功率、咽部出血率、牙齿牙龈损伤率、改用其他插管方法或使用喉罩率显著低于M组，差异有统计学意义（P<0.05）。Mactintosh喉镜的喉显露分级与Disposcope内镜+TESL-110电子视频喉镜比较，差异有统计学意义（P<0.05）。 TESL-110喉镜的喉显露分级与Disposcope内镜+TESL-110电子视频喉镜比较，差异有统计学意义（P<0.05）。结论 Disposcope内镜与TESL-110电子视频喉镜联合应用是一种安全、快速、有效的困难气道解决途径。