喉罩在困难气道处理中的临床应用  

Clinical application of laryngeal mask in the processing of difficult airway

作　　者：徐葭[1] 缪小勇[1] 曹建平[1] 

机构地区：[1]解放军第455医院麻醉科,上海200052

出　　处：《转化医学电子杂志》2015年第3期7-8,10,共3页E-Journal of Translational Medicine

摘　　要：目的:比较喉罩和气管插管在困难气道中的临床应用.方法:将40例预测为困难气道的患者随机分为喉罩组和对照组,每组20例,喉罩组采用喉罩置管全麻,对照组采用气管导管插管全麻,观察两组效果.结果:喉罩组首次置管成功率明显高于对照组(P<0.05);喉罩组置管操作时间低于对照组(P<0.05);喉罩组在操作时和苏醒时心率和血压波动明显降低(P<0.05);术中血流动力学、血氧饱和度及呼气末二氧化碳分压结果表明两组无差异;喉罩组术后并发症发生率明显低于对照组(P<0.05).结论:喉罩通气是解决困难气道患者手术麻醉的有效方法之一,值得临床推广.AIM：To compare the clinical application of larynge-al mask and endotracheal intubation anesthesia in the processing of difficult airway.METHODS：40 cases with difficult airway forecasted were divided into observation group and control group randomly,20 cases in each group.The observation group was giv-en the laryngeal mask anesthesia,while the control group was giv-en the endotracheal intubation anesthesia. The effects of two groups were observed.RESULTS：The success rate of observa-tion group was obviously higher than control group＇s for the first time （P〈0.05）;The fluctuations of heart and blood pressure in observation group were lower than the control group＇s in operating and waking （P〈0.05 ）.There were no statistically significant differences in hemodynamics,blood oxygen saturation and end-tidal carbon dioxide partial pressure results between the two groups.Complication rate in observation group was lower than the control group （P〈0.5）.CONCLUSION：The laryngeal mask airway is one of the effective methods to solve difficult airway an-esthesia in patients,worth clinical promotion.

关 键 词：喉罩 气管插管 困难气道 

分 类 号：R614[医药卫生—麻醉学]