摘要
目的比较SLIPA喉罩和气管插管用于全麻腹腔镜下妇科手术的安全性及对血流动力学的影响。方法 66例患者随机分为SLIPA喉罩(A组)和气管插管(B组),实时记录两组麻醉诱导前(T1)、罩(管)置入成功即刻(T2)、罩(管)置入后3 min(T3)、罩(管)拔除前(T4)、罩(管)拔除即刻(T5)、罩(管)拔除后3 min(T6)的SBP、DBP、HR及SpO2的变化,并记录两组并发症情况。结果与T0时比较,B组T1、T4、T5时SBP、DBP明显升高,HR增快,且相应时点均高于A组(P<0.05);B组发生躁动、呛咳、咽痛的患者明显多于A组(P<0.05)。结论 SLIPA喉罩用于全麻腹腔镜下妇科手术时患者血流动力学稳定、术后咽喉部并发症少。
Objective To compare the effects of SLIPA laryngeal mask and endotracheal intubation on safety and hemody- namics for laparoscopic gynecological surgery. Methods All of 66 cases were randomly divided into SLIPA laryngeal mask group （group A） and endotracheal intubation group （group B）; SBP, DBP, HR, SpO2 were recorded before intubation induc- tion of anesthesia （T1）, cover （tube） into successful immediate （T2）, cover （tube） in 3 min （T3）, cover （tube） extraction （T4）, before the cover （tube） removed instantly （T5） and cover （tube） after extraction of 3 min （T6）, and recorded two groups：of complications situation. Results In group B, SBP, DBP and HR at T1, T4, T5 were higher than those at TO and the same time points in group A （P 〈 0.05）; Compared with group A,the incidences of body movement, coughing and sore throat of group B were much higher （P 〈 0.05）. Conclusion SLIPA laryngeal mask airway in general anesthesia during laparoscopic gynecological operation has hemodynamic stability and less postoperative throat complications.
出处
《中国现代医生》
2012年第36期77-78,共2页
China Modern Doctor
关键词
SLIPA喉罩
气管插管
腹腔镜手术
血流动力学
并发症
SLIPA laryngeal mask
Endotracheal intubation
Laparoscopic surgery
Hemodynamics
Complications
