喉罩在隆乳手术中的应用  

Application of laryngenl mask-airway in general anesthesia for breast augmentation operation

作　　者：高连宝[1] 张晓晓[1] 

机构地区：[1]天津市公安医院麻醉科,天津300042

出　　处：《武警医学院学报》2010年第12期958-960,共3页Acta Academiae Medicinae CPAPF

摘　　要：【目的】观察隆乳手术中应用喉罩通气行全身麻醉对血流动力学的影响。【方法】选取2007-2009年50例硅凝胶假体植入隆乳术患者,随机分成气管插管组(T组)和喉罩置入组(L组),每组25例,气管插管用喉镜明视插入法,喉罩置入按顺行盲探置入口底。记录麻醉诱导前(T0)、诱导后(T1)气管插管后1 min(T2)、3 min(T3)、拔除气管导管或喉罩后1 min(T4)各时间点的SBP、DBP、HR值,术后3 d随访患者咽痛、声音嘶哑的发生率。【结果】T组在插管后1 min(T2)、3 min(T3)、拔管1 min(T4)的SBP、DBP、HR较诱导前明显升高(P<0.05),而L组在T2、T3、T4点的SBP、DBP、HR与T0相比,无明显差异(P>0.05);组间比较,T组在T2、T3、T4点的SBP、DBP、HR明显高于L组(P<0.05)。术后L组咽痛、声音嘶哑发生例数少于T组(P<0.05)。【结论】喉罩通气全身麻醉对血流动力学影响小,不良反应小,适合于隆乳胸手术全麻的要求。【Objective】 To study the effect of laryngeal mask airway（LMA）on hemodynamic changes in general anesthesia for breast augmentation with silicone gel-filled breast implant patients.【Methods】 50 patients underment breast augmentation were randomly divided into 2 groups with 25 cases in each,including group T with tracheal intubation by laryngoscopy and group L with blind antegrade LMA insertion to mouth floor.The value of SBP、DBP and HR were measured at the time before tracheal intubation or LMA insertion（T0）,and after intubation or LMA placing for 1 minutes（T2）,3 minutes（T3）,after extubate intubation or LMA 1 minutes（T4）.Morbidity rate of side-injury such as pharyngalgic and hoarseness were recorded during 3 days after operation.【Results】 There was no obvious hemodynamic change at T2~T4 among the group L（P0.05）,while the SBP,DBP and HR at T2~T4 were significantly higher than those of T0 in group T（P0.05）.Comparing with group L,the value of SBP,DBP and HR were remarkable higher in group T at T2～T4.The morbidity rate of pharyngodynia and hoarseness after operation was obviously higher in group T than that of group L（P0.05）.【Conclusion】 LMA is suitable for breast augmentation with less hemodynamic changes,higher safety and less side effect.

关 键 词：喉罩通气 全身麻醉 隆乳手术 

分 类 号：R655.8[医药卫生—外科学]