SLIPA喉罩与气管插管在老年全麻手术中的应用比较  

Comparison of streamlined liner pharynx airway and endotracheal intubation in the elderly

作　　者：井郁陌[1] 孙国明[1] 刘亚妹[1] 兰基山[1] 刘莉[1] 刘恒[1] 

机构地区：[1]河北医科大学附属沧州中西医结合临床学院麻醉科,沧州市061001

出　　处：《临床麻醉学杂志》2010年第7期587-589,共3页Journal of Clinical Anesthesiology

摘　　要：目的比较应用SLIPA喉罩与气管插管对老年患者全麻手术中血流动力学的影响。方法腹腔镜胆囊手术96例,年龄65～81岁。随机均分为喉罩组(S组)和气管插管组(G组)。记录入室后(T0)、麻醉诱导时(T1)、置入喉罩或气管导管即刻(T2)、置入喉罩或气管导管后3 min(T3)、气腹后20 min(T4)、拔除喉罩或气管导管前(T5)、拔除喉罩或气管导管后即刻(T6)的SBP、DBP、HR、SpO2、气道峰压(Paw);观察拔除喉罩(导管)后并发症的发生情况。结果与T0时比较,两组T1时SBP、DBP均下降,HR减慢(P<0.05);与T1时比较,G组T2时SBP、DBP明显升高,HR增快(P<0.05);与T5时比较,G组T6时SBP、DBP明显升高,HR增快(P<0.05)。G组发生呛咳、躁动、喉痛及声嘶的患者明显多于S组。结论全麻腹腔镜胆囊手术中使用SLIPA喉罩控制血流动力学平稳、安全性好、并发症少。Objective To compare the effects of streamlined liner pharynx airway（SLIPA） with intratracheal tube on heamodynemics. Methods Ninty-eight elderly patients undergoing selective laparoscopic cholecystectomy （LC） were randomly divided into SLIPA group （group S） and endotracheal intubation group （group G）. SBP, DBP, HR, SpO2 and peak airway pressure （Paw） were recorded before induction（T0 ）, during induction（T1 ）, during SLIPA insursion or tracheal intubation （T2）, at 3 min after intubation （T3）, 20 min after pneurnoperitoneum （T4）, before extubation of SLIPA or tracheal（T5 ）, and after extubation（T6 ）. The rate of complication after removel of airway device was assessed. Results Compared to at To, BP and HR were decreased at T1 in both groups（P〈 0.05）. Compared to at T1 BP and HR increased significantly at T2 and T3 in group G（P〈0.05）. Compared to at T5 ,BP and HR increased significantly in group G at T6 （P〈0.05）. The incidence of complication in group G was significantly higher than that in group S （P〈 0. 05 ）. Conclusion Application of SLIPA in LC under general anesthesia is safe with stable hemodynamics and less complication.

关 键 词：喉罩 气管 腹腔镜胆囊手术 

分 类 号：R614[医药卫生—麻醉学]