Supreme喉罩在老年患者全身麻醉中的应用  

Supreme laryngeal mask airway in application of the elderly patients with general anesthesia

作　　者：李仁虎[1] 李家宽[1] 李元海[2] 

机构地区：[1]安徽医科大学附属六安医院麻醉科,安徽六安237005 [2]安徽医科大学第一附属医院麻醉科,安徽合肥230022

出　　处：《安徽医药》2011年第5期612-613,共2页Anhui Medical and Pharmaceutical Journal

摘　　要：目的探讨Suprem e喉罩在老年患者全身麻醉中应用的优越性。方法选择老年全髋置换手术患者100例,ASAⅠ～Ⅲ级,随机双盲分为Suprem e喉罩组(L组,n=50)和气管导管组(T组,n=50)。记录患者麻醉诱导前(T0)、插入喉罩/气管导管前(T1)、插入喉罩/气管导管后即刻(T2)、插入喉罩/气管导管后5 m in(T3)、拔出喉罩/气管导管前(T4)、拔出喉罩/气管导管后即刻(T5)和拔出喉罩/气管导管后5 m in(T6),收缩压(SBP)、舒张压(DBP)、心率(HR);记录患者围手术期相关并发症。结果插管/拔管期间L组血流动力学较T组稳定。围手术期相关并发症发生率L组明显少于T组(P<0.05)。结论老年患者全身麻醉通气时使用Suprem e喉罩不仅血流动力学相对稳定,而且围手术期相关并发症降低,优点明显大于气管内插管。Aim To explore the advantage of supreme laryngeal mask airway used in the elderly patients with general anesthesia.Methods 100 elderly patients with total hip replacement surgery,ASAⅠ ~ Ⅲ level were chosen,double-blind randomized into supreme laryngeal mask airway group（group L,n=50）and tracheal tube group（group T,n=50）.Patients＇systolic blood pressure（SBP）,diastolic blood pressure（DBP）,heart rate（HR）were recorded before the induction of general anesthesia（T0）,before inserting laryngeal mask airway/tracheal tube（T1）,inserting laryngeal mask airway/tracheal tube immediately（T2）,after inserting laryngeal mask airway/tracheal tube 5 min（T3）,before uprooting laryngeal mask airway/tracheal tube（T4）,uprooting laryngeal mask airway/tracheal tube immediately（T5）,uprooting laryngeal mask airway/tracheal tube after 5 min（T6）;Perioperative-associated complications of the patients were recorded.Results group L hemodynamic was more stable than T group during the intubation/decannulation.The perioperative associated complications in group T was significantly more than those in group L（P0.05）.Conclusion Supreme laryngeal mask airway are not only hemodynamic relatively stable but also reduce the perioperative associated complications,whose advantages are obviously higher than endotracheal tube.

关 键 词：SUPREME喉罩 气管导管 老年患者 血流动力 并发症 

分 类 号：R614[医药卫生—麻醉学]