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目的比较常见的几种插管技术应用于困难气道患者的效果。方法口腔颌面外科困难气道患者319例分为五组,分别采用经鼻腔盲探气管插管(A组,54例)、逆行引导气管插管(B组,52例)、光棒引导气管插管(C组,60例)技术、视频喉镜气管插管(D组,72例)和纤维支气管镜引导气管插管(E组,81例)。比较插管效果和相关并发症发生情况。结果 D和E组插管成功率明显高于A、B和C组(100.0%和100.0%vs.55.5%、76.9%和80.0%)(P<0.05);与B、C、D和E组比较,A组插管成功率明显低、耗时长、并发症多(P<0.05)。结论临床医生应综合分析困难气道的特点和类型,选择适当的插管方法,减少插管相关并发症。
Objective To compare the effects of several commonly used intubation techniques in patients with difficult airways. Methods 319 cases of oral and maxillofacial surgery patients with difficult airway were divided into five groups. The patients underwent nasal blind tracheal intubation (group A, n = 54), retrograde tracheal intubation (group B, n = 52) Intubation (group C, n = 60), video laryngoscope endotracheal intubation (group D, n = 72) and bronchofibroscope tracheal intubation (group E, n = 81) were performed. Comparison of intubation and related complications occurred. Results The success rate of intubation in groups D and E was significantly higher than that in groups A, B and C (100.0% and 100.0% vs.55.5%, 76.9% and 80.0% respectively) (P <0.05) In comparison, the success rate of intubation in group A was significantly lower, time-consuming and had more complications (P <0.05). Conclusions Clinicians should comprehensively analyze the characteristics and types of difficult airway and choose appropriate intubation methods to reduce the complications associated with intubation.