纤维支气管镜快速诱导经鼻气管插管在颈椎颈髓损伤患者中的应用

目的 比较纤维支气管镜(纤支镜)快速诱导经鼻气管插管与纤支镜清醒经鼻气管插管在颈椎颈髓损伤患者中的应用.方法 将40例颈椎颈髓损伤患者随机分为Ⅰ组(纤支镜快速诱导经鼻气管插管组)和Ⅱ组(纤支镜清醒经鼻气管插管组),每组各20例.观察两组患者插管前和插管时Bp、HR、SpO2的变化,以及插管时间和重复插管例数等.结果 插管过程中SpO2维持正常,Ⅰ组和Ⅱ组插管时间(3.12±0.52)min和(3.34±0.65)min]、重复插管例数(2例和1例)比较差异均无统计学意义.插管时Ⅱ组MAP、HR(105.6±17.5)mmHg(1 mm Hg=0.133 kPa)、(95.4±10.8)次/min]比Ⅰ组(83.7±19.6)mmHg、(78.5±10.2)次/min]显著升高(P<0.05).结论 纤支镜快速诱导经鼻气管插管在颈椎颈髓损伤患者中的应用优于纤支镜清醒经鼻气管插管,是安全可行的.

Application of rapid sequence induce nasotracheal intubation with fiberoptic bronchoscope in patients with cervical vertebra injury

Objective To compare the appfication of rapid sequence induce nasotracheal intobation with awake nasotracheal intubation with fiberoptic bronchoscope (FOB) in patients with cervical vertebra injury.Methods Forty patients with cervical vertebra injury were randomly divided into group (rapid sequence induce nasotracheal intubation with FOB) and group II (awake nasotracheal intubation with FOB),20 patients in each group.Bp,HR,SpO2 before and during intubation,intubafion time and cases of re-intubation were observed.Results SpO2 maintained normal during intubation.Between group I and group II,there was no significance in intubation lime (3.12±0.52)min and (3.34±0.65)mini and cases of re-intubafion (2 cases and 1 case) (P ＞ 0.05 ).During intubation,MAP and HR inceased significantly in group II than those in group I (P ＜ 0.05 ).Conclusion The application of rapid sequence induce nasotracheal intubation with FOB is better than awake nasotracheal intubation with FOB in patients with cervical vertebra injury,it is safe and valid.