双腔型喉罩通气对老年全身麻醉手术患者血流动力学影响  

The influence of double cavity type laryngeal mask ventilation on hemodynamics for patients with geriatric anesthesia operation

作　　者：刘晶 

机构地区：[1]山东省茌平县第三人民医院麻醉科,252100

出　　处：《中国基层医药》2013年第2期221-222,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的分析双腔型喉罩通气方法对老年全身麻醉（全麻）手术患者血流动力学的影响。方法将90例全麻手术患者随机分为气管插管全麻组45例、喉罩全麻组45例，记录两组患者插管前即刻（T1）、插管后即刻（T2）、插管后3min时（T3）、拔管后即刻（T4）和拔管后3min时（L）的平均动脉压（MAP）、心率、肾上腺素、去甲肾上腺素水平变化。结果两组T．时MAP、心率（HR）差异无统计学意义（均P〉0．05）。两组T2、T1、T4、T5时MAP、HR、肾上腺素、去甲肾上腺素比较，喉罩全麻组明显优于插管全麻组，差异均有统计学意义（均P〈0．05）。结论双腔型喉罩操作简便，对老年手术患者心血管系统刺激性小，通气可靠。Objective To analyze the influence of the dual chamber type laryngeal mask ventilation on hemodynamics in the treatment of elderly patients with general anesthesia operation. Methods 90 cases of operation under general anesthesia were randomly divided into 45 cases of tracheal intubation general anesthesia,laryngeal mask anesthesia group 45 cases,recording in two groups of patients before intubation immediately（T1 ）, mean arterial pressure （ MAP）, heart rate, intubation immediately after the （ T2 ） 3 rain （ T3 ）, after intubation, tracheal extubation after im- mediate extubation after（ T4 ） and 3min （ Ts ） mean arterial pressure （ MAP）, heart rate, epinephrine, norepinephrine level changes. The results of two groups of T~ mean arterial pressure, heart rate （ MAP, HR） there was no significant difference（ all P 〉 0.05 ）. Two groups of T2, T3, T4, Ts mean arterial pressure, heart rate （ MAP, HR）, epinephrine, norepinephrine,laryngeal mask anesthesia group were significantly better than the intubation in general anesthesia group, with significant difference（ all P 〈 0.05 ）. Results There was no significant difference in MAO, MR between the two groups at T1 （ all P 〉 0.05 ）. The MAP, MR, epinephrine, norepinephrine of the laryngeal mask group were better than those of the intubation group at T2, T3, T4, T5 （ all P 〈 0.05 ）. Conclusion Double cavity type laryngeal mask has the advantages of simple operation, operation for elderly patients with cardiovascular stimulation, ventilation reliability.

关 键 词：麻醉 全身 喉罩通气 血流动力学 老年人 

分 类 号：R614[医药卫生—麻醉学]