目的 比较HC视频喉镜与传统Macintosh喉镜引导气管插管的效果。方法 选取模拟颈椎制动患者共100例,随机分为观察组和对照组,每组各50例。对照组采用常规的Macintosh喉镜进行插管,观察组采用HC视频喉镜插管,统计并比较两种方法的插管时间、喉镜显露难易评分、插管时心血管反应、声门喉镜显露评级、插管失败率。结果 观察组插管时间[(22.1±8.5)vs(55.3±9.0)]s,暴露难易程度、声门喉镜显露评级优良率等各项指标均显著优于对照组(P＜0.05)。结论 颈椎制动患者插管治疗时,HC视频喉镜引导气管插管的效果优于Macintosh喉镜,能够提高插管效率、成功率和声门显露效果。

Objective To investigate the effect of HC video laryngoscope and Macintosh laryngoscope used in traditional clinical intubation anesthesia. Methods From 2013 January to 2014 January in this hospital, cervical spine immobilization was simulated in 100 patients, who were randomly divided into two groups, 50 patients in each group. The control group was treated with conventional Macintosh laryngoscope intubation ,and the observation group were given HC video laryngoscope in treatment, to observe and compare the therapeutic effects in the two groups. Results In the observation group, 50 patients received HC video laryngoscope intubation for treatment, the intubation time was (22.1±8.5) s,whereas that in the control group was (55.3±9.0) s; and for the patients in the observation group,the intubation difficulty score was significantly lower than that in the control group, with significant differences between the two groups(P<0.05). Conclusions For the patients with cervical spine immobilization intubation in clinical treatment, the HC video laryngoscope intubation can be used, the difficulty is low, with few cardiovascular reactions , high success rate. The effect of HC video laryngoscope intubation is obvious, worthy of clinical popularization and application.