天津医药

• 临床论丛 •    

600例OSAHS患者经鼻纤维支气管镜引导气管插管分析

秦永欣1,王红梅2,刘鸿源3,刘吉祥4,张志坚4,武斐4,王林4   

  1. 1. 天津市人民医院耳鼻咽喉科
    2. 天津医科大学研究生院
    3. 天津市人民医院耳鼻喉科
    4.
  • 收稿日期:2009-11-16 修回日期:2010-03-30 出版日期:2010-09-15 发布日期:2010-09-15
  • 通讯作者: 秦永欣

Analysis of 600 OSAHS patients with endotracheal intubation under guidance of bronchofibroscope through nose.

  • Received:2009-11-16 Revised:2010-03-30 Published:2010-09-15 Online:2010-09-15

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摘要： 摘要 目的 探讨阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者经鼻纤维支气管镜引导气管插管的临床价值。方法 治疗组600例经鼻纤维支气管镜引导气管插管，对照组216例经鼻或口诱导麻醉下行气管插管，比较两组插管前后情况。结果 两组性别（χ2 =1.43）、年龄（t=1.26）、肥胖比例（χ2 =1.65）、重症比例（χ2 =1.53）、合并症比例（χ2 =1.37）,治疗组困难气道384例，占64.0%，对照组困难气道144例，占66.67%，（χ2 =1.76），两组差别均无统计学意义（P>0.05）。治疗组插管100%成功，对照组成功率81.94%，（χ2 =8.32），差别有统计学意义（P<0.01）。结论 经鼻纤维支气管镜引导可顺利完成OSAHS困难气道的气管插管，具有很好的临床使用价值。

关键词: 睡眠呼吸暂停综合征, 纤维支气管镜, 气管插管

Abstract: [Abstract] Objective To study the clinical value of OSAHS patients with endotracheal intubation under guidance of bronchofibroscope through nose.methods The authors choose 600 OSAHS under the under guidance of bronchofibroscope through nose, and also choose 216 OSAHS through nose or mouth endotracheal intubation in induction of anaesthesia as the comparison. Results The sex （χ2 =1.43）, age （t=1.26）, obesity proportion （χ2 =1.65）, grave OSAHS proportion（χ2 =1.53） and the complication proportion（χ2 =1.37） have no signficant difference （P>0.05）. The treat group has difficult airway 384 case , 64.0%, and the comparison group has difficult airway 144 case, 66.67%, （χ2 =1.76），they have no signficant difference（P>0.05）. All the patients of the treat group are successful, but the comparison group can only reach the proportion of 81.94%, （χ2 =8.32）,have signficant difference （P<0.01）.Conclusion The technigue of endotracheal intubation under guidance of bronchofibroscope through nose has many advantages, it can deal with the difficult airway easily, has great clinical value.

Key words: sleep apnea syndrom, bronchofibroscope, endotracheal intubation