摘要
目的探讨SLIPA喉罩在前列腺电切术中的应用价值。方法 100例前列腺电切术患者随机均分为SLIPA喉罩组(S组)和气管插管组(T组)。记录麻醉诱导前(T0)、置入喉罩或气管导管即刻(T1)、置入喉罩或气管导管后3min(T2)、拔除喉罩或气管导管前(T3)及拔除喉罩/气管导管时(T4)的BP及HR。记录术后不良反应发生率。结果与T0比较,T组T2及T5时,SBP、DBP显著升高,HR明显增快(P<0.05);S组各时间点SBP、DBP、HR变化不明显。T2及T5时,S组BP低于T组,HR慢于T组(P<0.05)。S组拔除喉罩时的呛咳和术后咽喉疼痛的发生率低于T组(P<0.05)。结论与常规气管插管比较,SLIPA喉罩用于前列腺电切术麻醉,操作方便,对循环影响小。
Objective To observe the effect of ventilaton with SLIPA laryngeal mask airway on circulation in patients undergoing transurethral resection of prostate（TURP）. Methods A total of 100 patients undergoing TURP under general anesthesia was equally divided into two groups of S （ventilated with SLIPA） and T（ventilated with tracheal intubation under laryngoscopy）. BP and HR were recorded before（T0） and during inserting SLIPA or induction（T1）, at 3 rain（T2） after insertion, before（T3） and during（T4） withdrawal of SLIPA or intubation. Adverse responses were recorded. Results BP and HR of group T at T2 and T5 were higher than those at TO and group S（P〈0. 05）. The incidence rates of choke and throat ache in group S were lower than those in group T（P〈0. 05）. Conclusion Compared to conventional intubation, ventilation with SIAPA laryngeal mask airway has less effect on circulation and with less adverse effects.
出处
《江苏医药》
CAS
CSCD
北大核心
2012年第21期2567-2569,共3页
Jiangsu Medical Journal
关键词
喉罩
气管插管
前列腺电切术
Laryngeal mask airway
Tracheal intubation
Transurethral resection of prostate
