不同气管插管方法在颈椎手术中的应用

目的比较不同气管插管方法在颈椎手术中的应用效果。方法 90例颈椎择期手术患者按插管方法随机均分为三组:A组采用手法保持轴线稳定性(MILS);B组采用纤维支气管镜(FOB);C组采用盲探气管插管装置(BTII)。比较三组患者的气管插管相关资料。结果 A组插管费时最少。B、C组插管成功率分别为100%和96.7%,均明显高于A组的80%(P<0.05)。三组患者均无严重并发症发生。结论颈椎手术麻醉宜在FOB引导等技术下实施气管插管,以减少颈椎损伤机率,提高插管成功率。BTII技术可为颈椎损伤患者插管提供了一种新的方法。

Application of different methods of tracheal intubation in patients undergoing cervical vertebra surgery

Objective To compare the outcomes of tracheal intubation with different tecniques of maintain axis stability(MILS), fiberoptic bronchoscope(FOB) and blind tracheal intubation instrument(BTII) in the patients undergoing cervical spine surgery. Methods Ninety patients undergoing selective cervical spine surgery were equally randomized into 3 groups of A(intubation with MILS),B(intubation with FOB) and C(intubation with BTII).The events related to intubation were compared among three groups. Results The time spent for intubation in group A was the least among three groups. The success rates of intubation in groups of B and C were 100% and 96.7%,respectively,which were higher than 80% in group A(P<0.05).There were no severe complications related to intubation in three groups. Conclusion To reduce the risk for cervical spine injury and increase the success rate of intubation,tracheal intubation in the patients undergoing cervical spine surgery is better to be guided by FOB.BTII can provide a new intubation technique for the patients with cervical vertebrae injury.