摘要
目的探讨喉罩通气全麻在基层医院外科手术中的应用价值。方法选择ASA I～Ⅱ级、择期行外科手术的患者120例,随机分为气管插管(TT)组和喉罩(LMA)组。入室后开放静脉,监测生命体征和呼气末二氧化碳分压(PetCO2)。观察气管插管、置入喉罩即刻和苏醒拔管时的平均动脉压(MAP)、心率(HR)、脉搏血氧饱和度(SpO2)、PetCO2值,记录拔管时及苏醒后的不良反应等。结果 TT组插管及拔管即刻的MAP、HR明显高于置管前及LMA组(经比较,P<0.05),PetCO2、SpO2变化差异无显著性(P>0.05)。结论喉罩能安全有效地应用于基层医院外科手术中,可有效地减少应激反应、复苏快、并发症少等优点,值得基层医院推广应用。
Objective Explore the application of LMA anesthesia in primary hospital surgical operation.Methods Select ASA I～Ⅱ grade,elective surgical line 120 patients were randomly divided into TT group and the LMA group.After the break-open vein,monitoring vital signs and PetCO2.Observation of tracheal intubation,LMA insertion,and wake up instantly when extubation MAP,HR,SpO2,PetCO2 values,records,and regained consciousness after extubation when the adverse reactions.Results TT Group immediate intubation and extubation MAP,HR was significantly higher than before and LMA tube group（P0.05）,PetCO2,SpO2 was no significant difference in change（P0.05）.Conclusion LMA can be safely and effectively used in primary hospital surgery,which can effectively reduce the stress response,quick recovery and fewer complications,etc.,should promote the use of grass-roots hospitals.
出处
《湖南中医药大学学报》
CAS
2010年第6期49-50,共2页
Journal of Hunan University of Chinese Medicine
基金
广东省梅州市医药卫生课题(2009A-30)
