两种不同类型喉罩在腹腔镜手术中的应用  

Application of two different types of laryngeal mask airway on patients undergoing laparoscopic surgery

作　　者：贾真[1] 耿丽娜[1] 徐强 胡蓓 袁耀宗 黄伟伟 

机构地区：[1]武警河南总队医院麻醉科,河南郑州450052 [2]武警兵团指挥部医院麻醉科,新疆乌鲁木齐830063

出　　处：《中国医药导报》2013年第7期59-61,共3页China Medical Herald

摘　　要：目的探讨在腹腔镜手术中使用喉罩的可行性和应注意的相关问题。方法选择武警兵团指挥部医院麻醉科2011年6～12月择期全麻下行腹腔镜手术患者80例,随机均分为传统喉罩组(L组)和免充气喉罩组(N组),每组各40例。记录患者入室后的生命体征基础值(T0),及喉罩置入后1 min(T1)、5 min(T2),气腹前(T3),气腹后3 min(T4)、10 min(T5)的平均动脉压(MAP)及心率(HR),并通过麻醉机记录各时间点两组患者的潮气量(VT)、气道压峰值(Ppeak)及呼气末二氧化碳(PETCO2),并记录喉罩一次性置入成功率,术后24 h随访患者呼吸道及咽部情况。结果两组患者喉罩一次性置入成功率及术后咽部并发症的发生率无差异,T4、T5、PPeak、PET-CO2均较T3升高,但仍处于正常范围内。结论传统喉罩和免充气喉罩均可安全有效地用于腹腔镜手术,人工气腹虽然导致气道压力明显上升,但对两种喉罩的通气效果无明显影响。Objective To investigate the feasibility and safety of the laryngeal mask airway and oro-pharyngeal airway cap laryngeal mask on patients undergoing laparoscopic surgery. Methods Eighty ASA I or Ⅱ patients scheduled for laparoscopic surgery under general anesthesia were aloeated randomly to either laryngeal mask group （group L） or O- PLAC laryngeal mask group （group N）. The patients VT, Ppeak, PETCOz, MAP, HR and SPO2 were recorded before anaesthesia （To）, after intubation at 1 rain （Ti）, 5 rain （T2）, before artificial pneumoperitoneum （T3）, after pneumoperitoneum at 3 min （T4）, 10 min （T5）. Results The incidence of pharyngeal complications between two group had no difference. The Ppeak and PETCO2 after artificial pneumoperitoneum 3 rain （T4）, 10 rain （Ts） of two group were all higer than those before pneumopefitoneum （T3）. Conclusion The laryngeal mask airway and oro-pharyngeal airway cap laryngeal mask are all stable and safe on patients undergoing Laparoscopic cholecystectomy.

关 键 词：全麻 腹腔镜 喉罩 

分 类 号：R614[医药卫生—麻醉学]