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陈 林1 钟庆华1▲ 李玲苇1 李志腾2 刘 绮1 李以茂1.可视喉镜联合床旁支气管镜在尘肺病大容量全肺灌洗术中双腔气管插管临床应用[J].中国现代医生,2021,59(11):112-114+118
可视喉镜联合床旁支气管镜在尘肺病大容量全肺灌洗术中双腔气管插管临床应用
Clinical application of visual laryngoscope combined with bedside bronchoscope in double-lumen endotracheal intubation during large-volume whole lung lavage for pneumoconiosis
  
DOI:
中文关键词:  可视喉镜  床边支气管镜  尘肺病  大容量全肺灌洗术  气管插管
英文关键词:Visual laryngoscope  Bedside bronchoscope  Pneumoconiosis  Large volume whole lung lavage  Tracheal intubation
基金项目:江西省赣州市指导性科技计划项目(GZ2019ZSF 214)
作者单位
陈 林1 钟庆华1▲ 李玲苇1 李志腾2 刘 绮1 李以茂1 1.江西省赣州市第五人民医院麻醉科江西赣州 3410002.江西省赣州市第五人民医院呼吸与危重症医学科江西赣州341000 
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中文摘要:
      目的 分析可视喉镜联合床旁支气管镜在尘肺病大容量全肺灌洗术中引导双腔气管插管临床应用。方法 选取2017 年2 月至2019 年2 月行大容量全肺灌洗术的尘肺病患者80 例,根据双腔气管插管引导方式不同分为对照组与研究组,每组各40 例,对照组给予普通喉镜插管,研究组可视喉镜引导并给予床旁支气管镜定位,回顾分析两组患者的临床资料,对比两组一次性插管成功率、插管时间与不良反应,插管部位符合率进行统计学分析。结果 研究组患者的一次插管成功率与插管时间,插管部位符合率均优于对照组,差异有统计学意义(P<0.05);而研究组不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论 可视喉镜联合床旁支气管镜在大容量全肺灌洗术治疗尘肺病中可有效缩短插管时间,提高一次成功率,插管部位符合率高,降低不良反应,具有显著的应用效果,提示可视化技术值得在尘肺病大容量全肺灌洗术中双腔气管插管临床推广使用。
英文摘要:
      Objective To analyze the clinical application of double-lumen endotracheal intubation guided by visual laryngoscope combined with bedside bronchoscope in large-volume whole lung lavage for pneumoconiosis.Methods Eighty patients with pneumoconiosis who underwent large-volume whole lung lavage from February 2017 to February 2019 were selected for the study.According to the different intubations,they were divided into the control group and the study group,with 40 cases in each group.The control group was given general laryngoscope-guided intubation,while the study group received visual laryngoscope combined with bedside bronchoscope.The clinical data of the two groups were analyzed retrospectively.The success rate of one-time intubation,intubation time and adverse reactions were compared between the two groups,and the coincidence rate of intubation site was analyzed statistically.Results Compared with the control group,the one-time success rate of intubation,intubation time,and the coincidence rate of intubation position were better in the study group,and the differences were statistically significant (P<0.05),while the incidence of adverse effects was lower in the study group than in the control group,and the difference was statistically significant (P<0.05).Conclusion Visual laryngoscope combined with bedside bronchoscope can effectively shorten the intubation time,improve the one-time success rate,the coincidence rate of intubation position and reduce the adverse reactions of patients,which indicates that visualization technology is worth popularizing in the clinical application of double-lumen endotracheal intubation in the treatment of pneumoconiosis.
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