SLIPA喉罩全麻在老年患者骨科手术学应用中的有效性和安全性  

Effectiveness and safety of the SLIPA laryngeal mask in anesthesia for orthopedic surgeries for elderly patients

作　　者：杨安波[1] 

机构地区：[1]广州中医药大学附属北碚中医院,重庆400700

出　　处：《现代预防医学》2013年第22期4283-4285,共3页Modern Preventive Medicine

摘　　要：目的探讨SLIPA喉罩麻醉在老年患者骨科手术中的麻醉效果与安全性。方法将某院2010年1月。2011年12月择期行骨科手术的72例老年患者随机分成2组：实验组36例；对照组36例。实验组采用SLIPA喉罩麻醉：对照组采用气管插管麻醉。观察和比较两组患者的手术麻醉相关时间参数、麻醉围手术期的血流动力学变化以及移开喉罩／拔管后并发症发生情况。结果两组的手术时间、麻醉时间差异无统计学意义（P〉0．05），实验组置人喉罩／插管操作时间、苏醒时间、术后移开喉罩／拔管时间明显少于对照组（P〈0．05）；实验组的置人喉罩／插管即刻（T1）、置入喉罩／插管后3min（T2）、移开喉罩／拔管即刻（T4）、移开喉罩／拔管3rain（T5）的收缩压（SBP）、舒张压（DBP）、心率（HR）指标水平明显比对照组稳定（P〈0．05）；实验组患者移开喉罩／拔管后的低血氧症、呛咳、恶心呕吐、咽喉痛、躁动等并发症发生率均显著性小于对照组（P〈0．05）。结论SLIPA喉罩麻醉应用于老年患者骨科手术的麻醉效果良好。OBJECTIVE The aim of the study was to explore the anesthetic effect and safety of SLIPA laryngeal mask in anesthesia for orthopedic surgeries for elderly patients. METHODS 72 elderly patients who received orthopedic surgeries in our hospital between January of 2010 and December of 2011 were randomly divided into two groups, including an experimental group （36 cases） and a control group （36 cases）. The experimental group was anesthetized using the SLIPA laryngeal mask, while the control group was anesthetized by tracheal intubation. Surgical anesthesia-related time parameters, hemodynamic changes in the perioperative period, and complications occurred after removal of laryngeal mask/extubation of the experimental and control groups were observed and compared. RESULTS Operation time and anesthesia time of the two groups were not statistically different （P 〉 0.05） , and installation of laryngeal mask/intubation time, anesthesia recovery time, and time for postoperative removal of laryngeal mask/extubation of the experimental group were significantly less than those of the control group （P 〈 0.05）; Systolic blood pressure （SBP）, diastolic blood pressure （DBP）, and heart rate （HR） at time of installation/intubation （T2） , 3 min after installation/intubatiun （T2）, time of removal/extubation （T4）, and 3 rain after removal/extubation （Ts） of the experimental group were significantly steadier than those of the control group （P 〈 0.05） ; and the incidence of complications occurred after removal of laryngeal mask/extubation, such as hypoxemia, cough, nausea and vomiting, sore throat, and dysphoria, of the experimental group was significantly smaller than that of the control group （P 〈 0.05）. CONCLUSION SLIPA laryngeal mask is effective for surgical anesthesia for elderly orthopedic patients.

关 键 词：骨科手术 SLIPA喉罩麻醉 有效性 安全性 

分 类 号：R614.2[医药卫生—麻醉学] R687.3[医药卫生—外科学]