第三代喉罩通气在乳腺癌根治术中的应用  

作　　者：李文波[1] 陈志奇[2] 田春梅[1] 佟香芝[1] 任立群[1] 米冬梅[1] 

机构地区：[1]大庆总院集团龙南医院(齐齐哈尔医学院第五附属医院)麻醉科,163001 [2]大庆油田总医院普外科

出　　处：《当代医学》2010年第31期152-153,共2页Contemporary Medicine

摘　　要：目的探讨第三代喉罩通气在乳腺癌根治术中的安全性。方法选择择期病例40例乳腺癌患者随机分为H组和T组,两组各20例患者,H组应用第三代喉罩通气,T组应用气管插管通气。观察记录得普利麻、罗库溴铵的用量;清醒时间、拔管时间;麻醉前(T0)、术后清醒即刻(T1)、拔管即刻(T2)、拔管后5min平均动脉压(MAP)、心率(HR)及苏醒期躁动、恶心呕吐、呛咳等气道反应。结果与T组比较:H组德普利麻、罗库溴铵的用量少;清醒时间、拔管时间较早;MAP、HR平稳,气道刺激较小。结论第三代喉罩通气用于乳腺癌根治术中,麻醉药物用量少,对血流动力学影响小,对气道刺激小,更加安全。Objective To investigate the safety of proseal laryngeal mask airway（PLMA） in radical mastectomy. Methods Forty patients undergoing radical mastectomy surgery were enrolled randomized into two groups（H group and T group） with 20 cases each, H group with PLMA, T group with endotracheal intubation. Record the amount of diprivan, rocuronium; Awake time, extubation time; Mean arterial pressure （MAP）, heart rate （HR） before anesthesia （TO）, awake immediately after surgery（T1）, tracheal extubation immediately, 5 min after tracheal extubation; Airway responsiveness of agitation, nausea and vomiting, cough. Results Compared with T group： small amount of diprivan, rocuronium; Awake time, extubation time earlier; MAP, HR smooth; small airway stimulation. Conclusion Ventilation with PLMA in patients undergoing radical mastectory is bette in small amount of narcotic drugs, keeping stable hemodynamics and producing less airway stimulation.

关 键 词：第三代喉罩 乳腺癌根治术 血流动力学 气道反应 

分 类 号：R614[医药卫生—麻醉学]