可弯曲喉罩联合静脉麻醉在听力重建术中的应用  

Application of LMA-flexible and total intravenous anesthesia in tympanoplasty with prosthesis implant

作　　者：宋晓红[1] 李天佐[1] 杨静[1] 李小葵[1] 

机构地区：[1]首都医科大学附属北京同仁医院麻醉科,100730

出　　处：《临床麻醉学杂志》2011年第5期436-438,共3页Journal of Clinical Anesthesiology

基　　金：首都医学发展基金(2007-1037)

摘　　要：目的观察可弯曲喉罩联合静脉麻醉用于人工听骨听力重建术的效果。方法择期人工听骨听力重建术患者40例,随机均分为可弯曲喉罩组(F组)和气管内插管组(I组),均采用瑞芬太尼-丙泊酚静脉麻醉。记录两组SBP、DBP和HR,术野清晰度评分及自主呼吸恢复时间、拔管时间及BIS。结果术中F组SBP、DBP低于I组,术野清晰度优于I组;拔管时,F组SBP、DBP及HR波动小于I组(P<0.05)、呛咳反应更轻(P<0.01);F组呼吸恢复及拔管时间长于I组(P<0.05);F组BIS值高于I组(P<0.05)。结论与气管内插管相比,可弯曲喉罩联合静脉麻醉应用于人工听骨听力重建术更具优势,但需注意麻醉深度监测。Objective To observe the characteristics and resuscitation quality of total intravenous anesthesia in combination with LMA flexible in tympanoplasty with prosthesis implant. Methads Forty patients undertaking tympanoplasty with prosthesis implant were randomly divided into two groups： group F （n= 20, with LMA flexible） and group I （n= 20, with endotreacheal intubation）. In both groups anesthesia were maintained with remifentanil and propofol. Hemodynamic .index, surgical field score, cough reflex during extubation period and recovery time were recorded. Results In the operation period, the SBP and DBP was lower in group F than that in group I, and the surgical field score was higher in group I. While in the extubation period, cough reflex was significantly suppressed in group F （P=0.01） and the increase of SBP, DBP and HR was prominent in group I （P〈O. 05）, but the time of extubation was delayed in group E（P〈0.05）. At the moment of extubation, the BIS value in group F was higher than that of group I （P〈O. 05）. Conclusion The resuscitation quality and the safety of extubation in tympanoplasty with prosthesis implant were enhanced by use of LMA-flexible.

关 键 词：可弯曲喉罩 静脉麻醉 人工听骨听力重建术 

分 类 号：R614[医药卫生—麻醉学]