摘要
目的:观察无障碍通气面罩在肥胖患者麻醉诱导期通气中的应用效果。方法:90例择期手术全身麻醉BMI﹥26kg/m2的患者,随机分为普通面罩组(A组)、普通面罩+口咽通气道组(B组)、无障碍通气面罩组(C组),每组30例。在麻醉诱导后气管插管前进行面罩通气,评估面罩通气效果,并记录发生低氧的情况。结果:3组患者的一般情况没有差异。B组和C组发生面罩通气困难者均为1例,明显少于A组的4例(P﹤0.05)。B组出现低氧者为1例,C组未出现低氧,明显少于A组的4例(P﹤0.05)。结论:无障碍通气面罩在肥胖患者全麻醉诱导期通气效果确切,容易维持氧合,更好地保证全麻诱导期的患者安全。
Objective To observe the a pplication effect of non-obstacle airway mask on obese patients during anesthesia induction. Methods 90 obese patients （BMI﹥26 kg/m2） undergoing elective surgery were equally randomized to three groups, that were general mask （group A）, general mask ＋ oropharyngeal airway （group B）, and non-obstacle airway mask （group C）. Ventilation efficiency with different mask after anesthesia induction and before endotracheal intubation was assessed and hypoxia was recorded. Results There was no difference on general conditions in three groups. One case of difficult mask ventilation in group B and group C was much less than four cases in group A（P﹤0.05）. Hypoxia which happened only in one patient in group B and not happened in group C was apparently less than four cases in group A（P﹤0.05）. Conclusion Compared to general mask, non-obstacle airway mask was more safe for obese patients with better ventilation efficiency and higher oxygenation during anesthesia induction.
出处
《实用医学杂志》
CAS
北大核心
2010年第24期4504-4506,共3页
The Journal of Practical Medicine
关键词
面罩
肥胖患者
全麻诱导
Masks
Obese patients
Anesthesia induction
Ventilation
