ProSeal、Supreme与i-gel等3种双管喉罩的临床应用比较  

Comparison of clinical application of laryngeal mask airway ProSeal,Supreme and i-gel in clinical anesthesia

作　　者：申乐[1] 虞雪融[1] 何凯[1] 陈雯[1] 易杰[1] 黄宇光[1] 

机构地区：[1]中国医学科学院北京协和医学院北京协和医院麻醉科,北京100730

出　　处：《基础医学与临床》2013年第5期605-608,共4页Basic and Clinical Medicine

摘　　要：目的比较不同双管喉罩的临床应用情况,明确其在临床麻醉应用中的选择倾向性以及影响不同喉罩临床应用的主要因素。方法回顾分析ProSeal、Supreme与i-gel等3种双管喉罩的临床使用数量变化情况,比较Su-preme与i-gel喉罩在手术种类、患者性别与年龄等方面的差异。结果喉罩全身麻醉患者中Supreme喉罩使用量最多。喉罩用量及喉罩全麻患者占所有全麻患者的比例均呈上升趋势。使用Supreme与i-gel喉罩的女性患者显著多于男性患者(P<0.001),i-gel喉罩主要用于乳腺外科手术(P<0.001),而Supreme喉罩主要用于妇科手术(P<0.001)。Supreme喉罩与i-gel喉罩麻醉患者的平均年龄为无显著差异,但女性患者显著较男性患者年轻(P<0.001)。结论手术种类及部位是影响不同喉罩临床使用选择的主要因素。Objective To illustrate the selection preference and corresponding influence factors of different larynge- al mask airway （LMA） in clinical anesthesia. Methods We retrospectively analyzed the change of clinical con- sumption of LMA ProSeal, Supreme and i-gel, and analyzed the difference of surgical subspecialties, patients＇ gen- der and age among three LMAs using Chi square test or t test. Results Altogether 13 494 patients who received LMA-assisted general anesthesia were enrolled, with most of them using LMA Supreme. The number of patients who received LMA-assisted general anesthesia increased from 2010 to 2012. As compared with the number of LMA ProSeal used, those of LMA Supreme and i-gel increased more rapidly, and majority of them were used for female patients （P 〈0. 001 ）. LMA i-gel was preferred in mastectomy （P 〈0. 001 ）, while LMA Supreme in gynecological procedures （P 〈0. 1301 ）. No statistical difference existed for patients＇ age between group LMA Supreme and i-gel, but female patients were younger than male （P 〈 0. 001 ）. Conclusions The surgical subspocialty and surgical sites were major influence factors of the selection preference of different LMAs.

关 键 词：喉罩 PROSEAL Supreme i-gel 

分 类 号：R614[医药卫生—麻醉学]