喉罩在困难气道处理中的临床价值分析  

Clinical Value in the Treatment of Difficult Airway on Laryngeal Mask

作　　者：钟瑞琼 谢新春 吴秋瑜 

机构地区：[1]梅县人民医院麻醉科,广东梅县514011

出　　处：《中国医药指南》2013年第11期40-41,共2页Guide of China Medicine

摘　　要：目的观察喉罩在困难气道中的临床价值及其可行性。方法随机选取100例预测为困难气道的患者,将其随机分为气管插管组和喉罩置入组,每组50例,观察两组效果。结果喉罩置入组首次成功率90.0%,高于气管插管组的72.0%;喉罩置入组置入时间显著低于气管插管组插管时间;喉罩置入组置入前后HR、SBP、DBP无明显变化,置入或置管时稍降低;而气管插管组在插管后HR、SBP、DBP在插入或置管时稍降低,5min后明显升高,且气管插管组在插管或置入5min后HR、SBP、DBP显著高于喉罩置入组,P<0.05。结论喉罩通气是解决困难气管内插管有效的方法之一,值得临床推广使用。Objective To observe the laryngeal mask airway difficult the clinical value and its feasibility. Methods 100 cases randomly selected forecast for difficult airway patients, its randomly divided into trachea cannula group and laryngeal mask intogroups, each group of 50 cases, observe the effect of the two groups. Results A laryngeal mask for the first time in group success rate of 90.0%, higher than the trachea eannula group of 72.0%; Laryngeal mask placement group placement time was significantly lower than endotracheal intubation group intubation time. Laryngeal mask placement group before and atter placement HR, SBP, DBP, no obvious changes, placement or catheter slightly reduced, And trachea cannula group in atter intubafion SBP, DBP in ~ insert or catheter slightly lower, 5 minutes later increased significantly, and the trachea eannula group in intubation or placement 5 minutes HIL SBP, DBP laryngeal mask is significantly higher than in group, P〈0.05. Conclusion Laryngeal mask airway is to solve difficult endotracheal intubation effective way, is worthy of clinical use.

关 键 词：困难气道 喉面罩 气管插管 

分 类 号：R47[医药卫生—护理学]