摘要
目的了解I-gel喉罩在肝硬化门体静脉断流术患者中的应用效果。方法将肝硬化门体静脉断流术患者60例随机分为三组(n=20),T组(气管插管组)、P组(Proseal喉罩组)和I组(I-gel喉罩组),麻醉诱导后置入气管导管或各型喉罩。记录气管导管或喉罩置入时间,置入和拔除喉罩及气管导管前后MAP、HR,术中PetCO2、Ppeak、SpO2,胃管置入一次成功率和术后两天内咽喉痛和声音嘶哑的发生情况。结果与T组比较,I组、P组置入和拔出喉罩对血液动力学干扰更小,MAP、HR变化差异有统计学意义(P<0.05),术后第一天和第二天咽喉痛发生率较低,差异有统计学意义(P<0.05),I组与P组相比,喉罩置入时间更短(P<0.01)。结论 I-gel喉罩置入比Proseal喉罩置入更快捷方便,术后咽痛发生率更低,更适合肝硬化脾脏切除手术。
Objective To observe the efficacy of the laryngeal mask airway（LMA）I gel in cirrhotic patients undergoing splenectomy.Methods 60cirrhotic patients were randomly divided into 3groups（n=20）：the laryngeal mask airway P gel group（group P）,laryngeal mask airway I gel group（group I）,and the endotracheal intubation ETT group（group T）.The tracheal tube and laryngeal mask airways were placed after anesthesia induction.The spent time of insertion,the SpO2,PetCO2,Ppeak and the circulation system response during the insertion of the LMA/endotracheal tube were recorded and the MAP,HR were also recorded at the time before and after insertion/extraction.The number of attempts of LMA/enditracheal,the complications（sorethroat,odynophagia,hoarseness）the third day after the surgery were recorded.Results Compared to Group T,Group P and Group I encountered less hemodynamic disturbance during the intubation and extubation time of tubes.There was significant fluctuation in MAP and HR of the endotracheal intubation group（group T）,which was significantly different from those of group I and group P（P 0.05）.The incidence rate of complications（sore throat）was significantly lower in group I and group P than that of group T.Compared with that of group P and groupI,the intubation time of group I was shorter（P 0.05）.There was significantly difference in success rate of gastric tube placement between group I and group P（P0.05）.Conclusion LMA I gel is more easily and conveniently placed than LMA Proseal and causes lower incidence rate of sore throat after operation.So it is applicable for cirrhosis splenectomy.
出处
《右江医学》
2012年第5期613-616,共4页
Chinese Youjiang Medical Journal
关键词
I-gel喉罩
肝硬化
脾脏切除术
门体静脉断流术
麻醉
LMA I gel
liver cirrhosis
cirrhosis splenectomy
portosystemic cut-out operation
anesthesia
