SLIPA喉罩通气用于前列腺电切术对循环的影响  

Effect of ventilaton with SLIPA airway mask on circulation in patients undergoing transurethral resection of prostate

作　　者：曹慧茹[1] 张雷波[1] 胡毅平[1] 

机构地区：[1]南京医科大学附属无锡第二医院麻醉科,江苏省214002

出　　处：《江苏医药》2012年第21期2567-2569,共3页Jiangsu Medical Journal

摘　　要：目的探讨SLIPA喉罩在前列腺电切术中的应用价值。方法 100例前列腺电切术患者随机均分为SLIPA喉罩组(S组)和气管插管组(T组)。记录麻醉诱导前(T0)、置入喉罩或气管导管即刻(T1)、置入喉罩或气管导管后3min(T2)、拔除喉罩或气管导管前(T3)及拔除喉罩/气管导管时(T4)的BP及HR。记录术后不良反应发生率。结果与T0比较,T组T2及T5时,SBP、DBP显著升高,HR明显增快(P<0.05);S组各时间点SBP、DBP、HR变化不明显。T2及T5时,S组BP低于T组,HR慢于T组(P<0.05)。S组拔除喉罩时的呛咳和术后咽喉疼痛的发生率低于T组(P<0.05)。结论与常规气管插管比较,SLIPA喉罩用于前列腺电切术麻醉,操作方便,对循环影响小。Objective To observe the effect of ventilaton with SLIPA laryngeal mask airway on circulation in patients undergoing transurethral resection of prostate（TURP）. Methods A total of 100 patients undergoing TURP under general anesthesia was equally divided into two groups of S （ventilated with SLIPA） and T（ventilated with tracheal intubation under laryngoscopy）. BP and HR were recorded before（T0） and during inserting SLIPA or induction（T1）, at 3 rain（T2） after insertion, before（T3） and during（T4） withdrawal of SLIPA or intubation. Adverse responses were recorded. Results BP and HR of group T at T2 and T5 were higher than those at TO and group S（P〈0. 05）. The incidence rates of choke and throat ache in group S were lower than those in group T（P〈0. 05）. Conclusion Compared to conventional intubation, ventilation with SIAPA laryngeal mask airway has less effect on circulation and with less adverse effects.

关 键 词：喉罩 气管插管 前列腺电切术 

分 类 号：R614[医药卫生—麻醉学]