可弯曲喉罩在甲状腺全麻手术中的应用  

Application of Flexible Laryngeal Airway Mask for General Anesthesia in Thyroid Operation

作　　者：张成炬[1] 郑辉利[1] 马保新[1] 

机构地区：[1]厦门大学附属中山医院麻醉科,福建省厦门市361004

出　　处：《医学理论与实践》2015年第21期2896-2897,2900,共3页The Journal of Medical Theory and Practice

摘　　要：目的:观察可弯曲喉罩在甲状腺全麻手术中的应用效果。方法:选取全麻下择期行甲状腺手术患者90例,随机分为三组:可弯曲喉罩组(F组)、双管喉罩组(S组)和气管插管组(T组),每组30例。观察三组患者诱导期和苏醒期的血流动力学变化、术中麻醉机械通气参数变化;记录相关并发症及术者的满意度。结果:三组都能较好的完成通气,但S组术中漏气发生率较高,术者满意度较低,差异有统计学意义(P<0.05);F组、S组血流动力学更平稳,呛咳、恶心、低氧血症和术后24h咽痛发生率比T组低,差异有统计学意义(P<0.05)。结论:可弯曲喉罩应用于全身麻醉下甲状腺手术,具有血流动力学稳定,密封性较好,并发症少,更高的术者满意度,是一种值得推荐的麻醉方式。Objective： To study the effect of flexible laryngeal airway mask for general anesthesia in thyroid operation. Methods： 90 patients of thyroid operation under general anesthesia were randomly divided into three groups： flexible la- ryngeal airway mask group （group F）, supreme laryngeal airway mask group （group S） and endotracheal intubation group （group T）,30 cases in each group. Observed the hemodynamic changes in the induction period and the recovery period, and the changes of mechanical ventilation parameters during the whole operation in each groups;airway complications and the surgeon＇s satisfaction degree about the intraoperative ventilation were recorded. Results： The three groups were good to complete the ventilation, but the incidence of leak was higher and the surgeon＇s satisfaction about the intraoperative ventilation was lower in group S. And toward group T, more stable hemodynamics,lower incidences of cough, nausea, hypoxemia and pharyngalgia were occurred in group F and group S（P〈0. 05）. Conclusion： Flexible laryngeal mask can be used in thyroid operation under general anesthesia, with stable hemodynamics, seal better, fewer complications and the higher surgeon＇s satisfaction. It deserved to be recommended.

关 键 词：可弯曲喉罩 全麻 甲状腺切除术 

分 类 号：R614.2[医药卫生—麻醉学]