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目的:探讨Airtraq可视喉镜在急诊科对慢性阻塞性肺病(COPD)并呼吸衰竭患者气管插管中的应用价值。方法:将2013年7月-2014年7月我科收治的需要紧急气管插管的COPD并呼吸衰竭患者60例随机分为观察组和对照组,每组各30例。观察组患者采取Airtraq可视喉镜气管插管,对照组采取普通喉镜进行气管插管,比较两组插管前后血流动力学及血浆儿茶酚胺浓度变化。结果:观察组患者的血流动力学及血浆儿茶酚胺浓度的变化明显小于对照组(P<0.05)。结论:Airtraq可视喉镜在急诊COPD并呼吸衰竭患者的气管插管应用中不良反应发生率降低,值得在临床推广应用。
Objective: To investigate the value of Airtraq video-assisted laryngoscopy in tracheal intubation in patients with chronic obstructive pulmonary disease (COPD) and respiratory failure. Methods: From July 2013 to July 2014, 60 cases of COPD and respiratory failure requiring urgent endotracheal intubation in our department were randomly divided into observation group and control group, with 30 cases in each group. The observation group was treated with Airtraq visual laryngotracheal intubation and the control group with general laryngoscope for endotracheal intubation. The hemodynamics and plasma catecholamine concentrations before and after intubation were compared between the two groups. Results: The changes of hemodynamics and plasma catecholamine in the observation group were significantly less than those in the control group (P <0.05). Conclusion: Airtraq video laryngoscopy in patients with acute respiratory failure and COPD tracheal intubation in the incidence of adverse reactions decreased, it is worth in the clinical application.