摘要
目的 观察子宫切除全身麻醉(全麻)患者应用不充气喉罩或气管插管对血浆肾上腺素(E)、去甲肾上腺素(NE)的影响.方法 选择40例经腹子宫切除患者,全麻诱导后随机分为应用一次性不充气欧普乐喉罩(LMA)组和气管插管(TT)组各20例.监测两组血压、心率、血氧饱和度、呼吸末二氧化碳分压和心电图等,并分别于麻醉诱导前及置入喉罩或气管插管后1、3、5 min各时点的血浆NE、E浓度.结果 两组诱导前、后血浆肾上腺素水平无明显变化(P＞0.05),血浆去甲肾上腺素TT组插管后1 min和3 min较诱导前和LMA组比较差异有统计学意义(P＜0.05).结论 子宫切除全麻患者应用不充气喉罩较气管插管明显减少应激反应发生,并能有效通气,可安全应用.
Objective To investigate the effect of serum E, NE between non-aerated caplaryngeal mask and tracheal intubation after hysterectomy in general anesthesia patients. Methods After induced anesthesia, forty patients, scheduled for elective abdominal hysterectomy were randomly divided into two groups with 20 cases each. Group Ⅰwere used oropharyngeal airway caplaryngeal mask airway(OPLAC-LMA group), groupⅡ were used tracheal intubation (TT group).The BP, HR, SpO2, PETCO2 and ECG were observed, the levels of serum NE, E were observed at four time points: before anesthesia induction,at 1,3, and 5 minute after OPLAC-LMA implantion or tracheal intubation. Results The levels of serum E changed not significantly before or after anesthesia induction in the two groups(P>0.05). Compared with group Ⅱ, the serum E was higher than that in group Ⅰ(P<0.05). Conclusions The stress action can be effectively declined in patients with OPLAC-LMA during abdominal hysterectomy in general anesthesia, and ventilation effectively.
出处
《中国实用医刊》
2010年第8期29-30,共2页
Chinese Journal of Practical Medicine
关键词
喉面罩
插管法
气管内
子宫切除术
应激反应
Caplaryngeal Mask
Intubation,Tracheal
Abdominal hysterectomy
Stress
