双管型喉罩在老年患者腹腔镜手术中的应用  

Application of Proseal Laryngeal Mask Airway (PLMA) in Laparoscopic Surgery for Elderly Patients

作　　者：王诚[1] 曲辑[1] 王宇冬[2] 

机构地区：[1]长春市中医院,长春130022 [2]吉林省人民医院,长春130021

出　　处：《长春中医药大学学报》2013年第4期706-707,共2页Journal of Changchun University of Chinese Medicine

摘　　要：目的探讨双管型(PLMA)喉罩通气复合麻醉在老年患者腹腔镜手术中的有效性和安全性。方法择期腹腔镜手术老年患者80例,随机均分为PLMA组(喉罩组)和气管插管麻醉组(插管组)。常规监测平均动脉压(MAP)、心率(HR)、ECG,并于麻醉前、术终做动脉血气分析,对2组插管前后MAP、HR、BP和不良反应进行比较。结果喉罩组术终MAP、HR、BP、SpO2、pH、PaCO2与麻醉前比较无统计学意义(P>0.05)。插管组术终MAP、HR、BP与麻醉前比较有统计学意义(P<0.05),咽痛明显高于PLMA组。结论与气管插管麻醉相比,PLMA通气下麻醉操作简单、血流动力学稳定,能有效避免气管插管应激反应和不良反应,有效隔离呼吸道消化道,气道管理无特殊性,有可靠的安全性和有效性,可常规用于老年患者腹腔镜手术。Objective To investigate the Proseal laryngeal mask airway anesthesia efficacy and safety of laparoscopic operation in elderly patients.Methods 80 patients were randomly divided into group PLMA（LMA group） and tracheal intubation anesthesia group（intubation group）.The routine monitoring of mean arterial pressure（MAP）,heart rate（HR）,and ECG,before anesthesia,postoperative arterial blood gas analysis,to compare the two groups before and after intubation,MAP,HR,BP and adverse reaction.Results the laryngeal mask group postoperative MAP,HR,BP,SpO2,pH,PaCO2 and before anesthesia than no significant difference（P0.05）.Intubation group postoperative MAP,HR,BP and before anesthesia than have obvious difference（P0.05） was significantly higher than that in group PLMA,sore throat.Conclusion compared with endotracheal intubation anesthesia,PLMA ventilation under anesthesia is simple in operation,stable hemodynamics,can effectively avoid tracheal intubation stress response and adverse reaction,effective isolation of respiratory and digestive tract,airway management without particularity,safety and efficacy of reliable,can be routinely used for elderly patients with laparoscopic surgery.

关 键 词：PLMA喉罩 腹腔镜手术 老年人 

分 类 号：R572.1[医药卫生—消化系统]