插管型喉罩在无痛支气管镜检查中的应用  

Application of improved laryngeal mask in painless fiberoptic bronchoscopy

作　　者：钱江[1] 任军[1] 王迎军[1] 翟慧华[1] 

机构地区：[1]新疆生产建设兵团医院,830002

出　　处：《中国医学创新》2012年第3期11-12,共2页Medical Innovation of China

摘　　要：目的 观察插管型喉罩在无痛支气管镜检查中的应用效果。方法 将老年纤支镜检患者40例随机均分两组,A组为插管型喉罩组21例,B组为静脉全麻组19例。观察指标:BP、HR、SpO2、麻醉效果评级、镜检医师满意度、两组患者术中不良反应及麻醉再接受度。结果 插管型喉罩组患者SpO2、麻醉效果评级、镜检医师满意度均好于静脉全麻组。结论 插管型喉罩在老年纤支镜检中麻醉及通气效果满意,麻醉安全性高。Objective To observe the clinical effect of improved laryngeal mask in painless fiberoptic bronchoscopy. Methods Forty patients undergoing fibemptic bronchoscopy, were randomly divided into controlled improved laryngeal mask group （Group A, n = 21 ） and vein general anesthesia group（ Group B, n = 19 ）. The patients in Group B maintained spontaneous respiration. The blood pressure（BP） , heart rate（HR） ,and pulse oxygen saturation（ SpO2 ） were evaluated during endoscope inspection. The operating condition and operating time of the two groups were recorded, and side - effects during the inspection were also observed. Results The SpO2 of the patients in Group A remained at a higher level. The operating condition in Group A was significantly superior to the Group B （ P 〈 0. 05 ）, and the operating time in Group A was significantly shorter than that in Group B （ P 〈 0. 05 ）. Less irritating cough, breathlessness, laryngospasm, and body movement happened in Group A than those in Group B （P 〈 0.05 ）. Conclusion Improved laryngeal mask is a safe and effective alternative to painless fiberoptic bronchoscopy.

关 键 词：插管型喉罩 无痛支气管镜 

分 类 号：R614[医药卫生—麻醉学]