ProSeal喉罩在头颈部手术中的应用  

The use of ProSeal laryngeal mask airway for head and neck surgery

作　　者：杨旭东[1] 董稳[1] 刘克英[1] 刘瑞昌[1] 

机构地区：[1]北京大学口腔医院麻醉科,100081

出　　处：《临床麻醉学杂志》2008年第12期1047-1049,共3页Journal of Clinical Anesthesiology

摘　　要：目的观察ProSeal喉罩在头颈部手术中应用的临床效果和安全性。方法50例ASAⅠ或Ⅱ级,年龄17～71岁,择期行颌面外科头颈部手术患者,随机分为喉罩组(L组)和气管插管组(T组),记录诱导前、插管前、插管后1、3、5min、拔管前、拔管后的BP和HR,诱导后30min血气的变化,一次插管成功率,以及并发症发生情况。结果L组置入喉罩后BP和HR明显低于基础值和T组(P<0.05)。两组间一次性插管(或喉罩置入)成功率差异无统计学意义,诱导后30min血气显示,L组血PaCO2明显高于T组(P<0.05)。L组中12例患者术中侧头后出现轻度漏气,术中无严重低氧发生。包扎绷带时L组无一例发生呛咳。两组间术后咽喉部不适发生率和呕吐发生率差异无统计学意义。结论喉罩能够安全有效地应用于头颈部手术。Objective To investigate the safety and feasibility of using ProSeal laryngeal mask airway（PI.MA） during head and neck operation. Methods Fifty ASA Ⅰ or Ⅱ patients aged 17-71 years old undergoing head and neck surgery were enrolled in the study. The patients were randomized to receive PLMA （group L） and endotraeheal tube（group T） with 25 cases each. The success rate of first insertion attempt, blood pressure（BP） and insertion, as well as complications were recorded. heart rate（HR） before and at 1,3,5 min after Blood gas was analized at 30 rain after insertion. Results BP and HR after insertion in group PLMA were less than those before and those in group T. The success rate and complications such as postoperative throat sore and vomiting between the two groups were similar. Twelve patients in group L showed mild leakage of the PLMA, but no serious hypoxia was noted in the study. No patients coughed during bandage packing in group PLMA. Conclusion The PLMA can be used safely in the patients undergoing head and neck operation.

关 键 词：喉罩 头颈部于术 临床分析 治疗方法 

分 类 号：R614[医药卫生—麻醉学] R614.2[医药卫生—外科学]