喉罩在临床麻醉中的应用探讨  

Laryngeal Mask in the Application of Clinical Anesthesia Experience

作　　者：彭国庆[1] 王龙平[1] 房明[1] 梁本初 王德军[1] 

机构地区：[1]江苏省句容市人民医院,江苏句容212400

出　　处：《中外医疗》2013年第1期47-47,49,共2页China & Foreign Medical Treatment

摘　　要：目的探讨喉罩在临床麻醉中的应用价值。方法选取该院收治的80例患者,随机分为观察组和对照组各40例,观察组患者在手术中应用喉罩来进行全麻手术;对照组患者没有应用喉罩而是采用了气管导管的技术。观察两组患者在手术中气管插入和喉管插入前后的安全性和有效性。结果喉罩插入的一次成功率为90.0%,于通气装置的置入与维持以及拔除期间,观察组较对照组其血流动力学的变化更为平稳(P<0.05),观察组患者均无咽喉不适,而对照组中2例患者出现咽痛与声嘶等咽喉部的不适。结论喉罩通气是介于气管插管与面罩通气之间的一种麻醉方法,具有刺激小、可控制气道正压通气、操作简便、安全可靠等优点,值得临床推广。Objective To investigate the laryngeal mask in clinical anesthesia. Methods Hospital admitted 80 patients were ran- domly divided into observation group and the control group, 40 patients in the observation group were applied in surgery laryngeal mask general anesthesia; application laryngeal mask control group patients instead of using a tracheal tube technology. Were ob- served in tracheal insertion and pipes inserted into the front and rear of the safety and effectiveness of surgery. Results Laryngeal mask insertion of a success rate of 90.0%, unplug the ventilation device placed and maintained, as well as during the observation group than in the control group the hemodynamie changes more smoothly（P〈0.05）, and the observation group patients had no throat discomfort, sore throat and hoarseness, throat discomfort for the patients in the control group. Conclusion LMA between endotra- cheal intubation and mask ventilation anesthesia, stimulate small, positive airway pressure can be controlled, easy to operate, safe and reliable, etc, worthy of promotion

关 键 词：喉罩 手术麻醉 气道管理 血流动力学 

分 类 号：R614[医药卫生—麻醉学]