口咽通气管在无痛人工流产术中的临床应用  

Clinical application of painless induced abortion with oropharyngeal airway

作　　者：杨现会[1] 董铁立[1] 李剑峰[1] 孙凯[1] 周欣欣[2] 

机构地区：[1]郑州大学第二附属医院麻醉科,450014 [2]河南中医学院第一附属医院

出　　处：《中国实用医刊》2012年第23期30-32,共3页Chinese Journal of Practical Medicine

摘　　要：目的探讨放置口咽通气管在静脉全身麻醉下人工流产术中的临床应用。方法将217例自愿接受无痛人工流产的孕妇随机分为观察组（112例）和对照组（105例），前者以丙泊酚复合芬太尼静脉麻醉后经口放置口咽通气管面罩吸氧下行人工流产，后者采取同样麻醉手术方法但不放置口咽通气管。观察并记录两组患者麻醉手术过程中的麻醉效果、主要刺激性症状（包括体动、鼾声呼吸、呼吸困难）、各时段平均动脉压（MAP）、心率（HR）、血氧饱和度（SpO：）等变化及Chung’s麻醉后离院评分。结果术中观察组和对照组分别有13例和12例轻微体动；观察组无一例出现鼾声呼吸，仅有2例出现一过性呼吸困难；对照组有15例出现鼾声呼吸，19例出现一过性呼吸困难，两组间比较差异有统计学意义（P〈0．01）；两组全过程麻醉前、操作中、苏醒后患者无任何不适感觉，两组此时段HR、SpO2比较差异无统计学意义（P〉0．05）；对照组在给药后2min的SpO2较观察组低，两组比较差异有统计学意义（P〈0．01）。两组Chung’s麻醉后离院评分比较差异无统计学意义（P〉0．05）。结论放置口咽通气管能有效缓解无痛人工流产术中静脉麻醉所致舌后坠引起的呼吸功能障碍，降低了麻醉风险，提高患者的安全性。Objective To investigate the clinical application of oropharyngeal airway placed in induced abortion under general anesthesia in vein. Methods A total of 217 voluntary patients were ran- domly divided into observation group（ 112 cases） and control group（ 105 cases）, the patients in observa- tion group were aborted after propofol-fentanyl intravenous anesthesia and oropharyngeal airways and face mask were placed, which in contral group were treated with the same treatment except the hse of oropha- ryngeal airway. For patients of two groups, some indicators such as anesthetic effect during surgery and anesthesia, the main irritant symptoms （including body movement, snoring breathing, difficulty breath- ing）, the changes of mean arterial pressure（MAP）, heart rate（HR）, saturation of peripheral oxygen （SpO2 ） each time segment, and Chung＇ s anesthesia discharge scores were observed and recorded. Results Thirteen cases and 12 cases of slight body movement were found respectively in observation group and control group.No snoring breathing and only 2 patients had a transient dyspnea were found in observation group, 15 cases of snoring breathing and 19 cases of transient respiratory difficulties were found in control group, and there were statistically significant between the two groups （P 〈 0. 01 ）. There was no statistically signifi- cant difference in HR, SpO2 of before anesthesia, operation, after the patient regained consciousness and Chung＇ s anesthesia discharge scores （ P 〉 0. 05）. SpO2 of two minutes after administration in the control group was lower than that in the observation group, there was statistically significant between the two groups （P 〈 0. 01 ）. Conclusions dysfunction resulted from glossocoma and improves patients safety, The use of oropharyngeal airway caused by intravenous anesthesia, can effectively relieve respiratory that reduces the risk of anesthesia

关 键 词：口咽通气管 无痛人工流产 静脉麻醉 

分 类 号：R1[医药卫生—公共卫生与预防医学]