间歇正压通气在置欧普乐喉罩全麻中的应用  

The application of Oro-Pharyngo-Laryngeal airway cap under general anaesthesia with intermittent positive pressure ventilation

作　　者：赵敏[1] 杨国仁[1] 骆乐[1] 钟庆[1] 

机构地区：[1]简阳市人民医院麻醉科,四川简阳641400

出　　处：《四川医学》2009年第5期673-675,共3页Sichuan Medical Journal

摘　　要：目的探讨在置欧普乐喉罩全麻中使用间歇正压通气的安全性和有效性。方法择期外科手术的全麻患者60例,ASAⅠ～Ⅱ级,随机分为欧普乐喉罩组(OPLAC组)和气管插管组(ETT组)。观察气道压力和SpO2、心率、血压等生命体征的变化及术后并发症如咽痛、声嘶、出血、唇齿损伤等。结果术中气道压及生命体征在正常范围内,和气管插管全麻患者比较差异无统计学意义(P>0.05)。ETT组术后咽干咽痛的发生率明显高于OPLAC组(P<0.05),而其它如声嘶、出血等并发症发生率两组相近(P>0.05)。结论置欧普乐喉罩在全麻中应用间歇正压通气,可以达到与气管插管一样满意的通气效果,能够保证无并存严重疾病患者的安全。Objective To investigate the efficacy and safety of using Oro-Pharyngo-Laryngeal airway cap（OPLAC） under general anaesthesia with intermittent positive pressure ventilation. Methods Sixty adult ASA Ⅰ and Ⅱ patients undergoing selective surgery were randomly allocated to 2 groups for OPLAC or endotracheal tube insertion. A standardized anaesthetic technique was used. The groups were the compared regarding vital signs changes including heart rate,me.an arterial pressure, saturation of blood oxygen and airway peak pressure during surgery. Complications such as blood contamination, postoperative sore throat, dry throat, hoarsenes, lip or dental injury were looked for.Results The airway peak pressure and vital signs were not significantly different between the groups（ P 〉 0.05） .A higher incidence of sore throat, dry throat, at PACU was noted in ETT group as compared to OPLAC group（ P 〈 0.05）. The other side effects（ hoarsenes, blood contamination）were nearly the same between the two groups. Conclusion The OPLAC and ETT show similar efficacy during surgery under general anaesthesia with controlled ventilation. It is concluded that the use of OPLAC during intermittent positive pressure ventilation is safe and effective in selected eases.

关 键 词：间歇正压通气 欧普乐喉罩 全麻 气管插管 

分 类 号：R614[医药卫生—麻醉学]