支撑喉镜下声门暴露困难综合预测系统的建立

张宏强; 田素景; 杨国庆; 李晓明

doi:10.13201/j.issn.1001-1781.2015.16.015

支撑喉镜下声门暴露困难综合预测系统的建立

- 1 解放军第二五二医院耳鼻咽喉科(河北保定, 071000);
- 2 白求恩国际和平医院耳鼻咽喉头颈外科

详细信息

通讯作者: 李晓明,E-mail:xmlmo@126.com

中图分类号: R767.44

收稿日期: 2015-03-09

Study of building up a comprehensive system for predicting difficult laryngeal exposure under suspension laryngoscopy

- 1 Department of Otorhinolaryngology, No. 252 Hospital of People's Liberation Army, Baoding, 071000, China;
- 2 Department of Otorhinolaryngology Head and Neck Surgery, Bethune International Peace Hospital of PLA

More Information

Corresponding author: LI Xiaoming, E-mail: xmlmo@126.com

Received Date: 09 March 2015

摘要

摘要: 目的:建立简便有效的支撑喉镜下声门暴露困难综合预测系统。方法:选择120例声门良性肿物切除手术患者,应用Logistic回归分析支撑喉镜下声门暴露困难的各种影响因素,包括体重、身高、BMI、颈围、颈部后仰角、最大张口度、颏至甲状软骨间距离、颏至胸骨上窝间距离、Mallampati分级、Yamamoto分级、咬上唇试验分级。建立数据库,结合患者术中声门暴露情况,通过统计学分析筛选上述相关影响因素,构建支持喉镜下声门暴露困难综合预测系统。结果:声门暴露困难相关因素为BMI、颈围、最大张口度、颈部后仰角、颏至甲状软骨间距离、Mallampati分级和Yamamoto分级(均P<0.05);将已得出的7项相关因素作为预测指标,每项分别设1、2、3分,总分21分,分数越大,发生声门暴露困难的危险性越大。预测系统设定>8分为预测暴露困难,实验获得预测系统(>8分)的灵敏度、误诊率、漏诊率和特异度分别为95.5%、5.3%、4.5%、94.7%。结论:说明支撑喉镜下声门暴露困难综合预测系统可为术前识别困难患者提供依据。
- 支撑喉镜 /
- 声门 /
- 暴露困难 /
- 预测
Abstract: Objective: To build up a simple and effective comprehensive system for predicting difficult laryngeal exposure under suspension laryngoscopy.Method: One hundred and twenty cases of laryngeal tubor were selected.Using Logistic regression method to analyse relative factors,including weight,height,BMI,neck girth, neck upward degree, upper-lower incisor teeth distance,thyroid-mentum distance,thyroid-sternum distance, Mallampati test,Yamamoto test and Upper lip bite test.Build data-base to construct a comprehensive system for predicting difficult laryngeal exposure under suspension laryngoscopy.Result: The relative factors of difficult laryngeal exposure were BMI,neck girth, upper-lower incisor teeth distance, neck upward degree, thyroid-mentum distance, Mallampati test andYamamoto test (P<0.05).To build up a comprehensive system for predicting difficult laryngeal exposure under suspension laryngoscopy.The predicting standards included the seven relative factors,each factor has 1 score,2 score,3 score. Higher score means more risk.Eight score was designed as minimum,under the premise,the sensibility,misdiagnosis rate,missed misdiagnosis rate,specificity of the experiment were 95.5%,5.3%,4.5%,94.7%.Conclusion: The comprehesive system is an effective method for predicting difficult intubation.It can help to identify difficult cases according to the results of this predicting system.
- suspension laryngoscopy /
- glottis /
- difficult exposure /
- forecasting

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参考文献(6)

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