光棒与纤维支气管镜用于强直性脊柱炎困难气道气管插管的比较

目的 比较光棒(light wand,LW)与纤维支气管镜(fiberoptic bronchoscope,FOB)用于强直性脊柱炎患者的困难气道行气管插管的应用效果.方法 选择62例行择期手术的强直性脊柱炎患者,随机分为LW引导气管插管组(LW组,n=32)和FOB引导气管插管组(FOB组,n=30),经口行气管插管,记录插管时间、成功率,评估血流动力学及插管相关并发症.结果 LW组患者气管插管时间明显短于FOB组(P＜0.01),在插管成功率、气管插管相关并发症及血流动力学变化等方面,两组之间差异无统计学意义(P＞0.05).结论 LW和FOB均可用于强直性脊柱炎患者困难气道的气管插管,成功率高,并发症少,对血流动力学影响轻微,而LW操作更为简单,并能缩短气管插管时间.

Light wand vs. fiberoptic bronchoscope for tracheal intubation in patients with ankylosing spondylitis

Objective To compare the effectiveness of light wand (LW) vs. fiberoptic bronchoscope (FOB) for oral tracheal intubation in patients with ankylosing spondylitis (AS). Methods Sixty-two AS patients scheduled for elective surgery were randomly divided into two groups and underwent oral tracheal intubation with LW (LW group, n=32) or FOB (FOB group, n=30). The intubation time, the successful intubation rate, and the incidence of airway complications in both two groups were recorded. The changes of hemodynamic parameters (MAP and HR) and SpO₂ were observed at five time points: before anaesthesia, before intubation, one min, three min and five min after tracheal intubation. Results The mean tracheal intubation time was obviously shorter in LW group than in FOB group (P<0.01). There was no statistically significant difference in the success rate of intubation, the occurrence of airway complications and the changes of hemodynamic parameters between the two groups (P>0.05). Conclusion Tracheal intubation with LW or fiberoptic bronchoscope in AS patients can achieve high successful rate and less injuries, and has slight impact on the hemodynamic parameters. In addition, using LW for tracheal intubation in AS patients is more convenient and quicker.