LMA Supreme^(TM)与SLIPA^(TM)喉罩在女性全身麻醉患者中的效果及术后并发症比较  

Application of LMA Supreme^(TM) and SLIPA^(TM) laryngeal mask airway in female patients undergoing general anesthesia airway management and related postoperative complications: A retrospective study

作　　者：代世韬 娄景盛[2] 杨路加 侯爱生 郭曲练[3] 曹江北[2] DAI Shi-tao;LOU Jing-sheng;YANG Lu-jia;HOU Ai-sheng;GUO Qu-lian;CAO Jiang-bei(Department of Automation,School of Information Science and Engineering,Central South University,Changsha 410083,China;Anesthesia and Operation Center,Chinese PLA General Hospital,Beijing 100853,China;Department of Anesthesiology,Xiangya Hospital,Central South University,Changsha 410008,China)

机构地区：[1]中南大学信息科学与工程学院自动化系,长沙410083 [2]解放军总医院麻醉手术中心,北京100853 [3]中南大学湘雅医院麻醉科,长沙410008

出　　处：《解放军医学杂志》2018年第8期690-693,共4页Medical Journal of Chinese People's Liberation Army

基　　金：全军"十二五"医学科研基金面上项目(CWS14J068)~~

摘　　要：目的比较LMA Supreme^(TM)与SLIPA^(TM)两种喉罩在成年女性患者全身麻醉气道管理中的应用及相关并发症发生情况。方法通过Do Care麻醉信息管理系统检索2017年10月-2018年3月在解放军总医院使用LMA Supreme^(TM)(L组)或SLIPA^(TM)(S组)喉罩进行气道管理的全身麻醉女性患者,查阅病历并记录可能与喉罩使用相关的术中及术后并发症。结果共924例成年女性患者使用LMA Supreme^(TM)(379例,41%)或SLIPA^(TM)(545例,59%)喉罩进行全身麻醉气道管理,分布于乳腺专科、妇科、整形外科、肿瘤外科等科室。其中L组患者使用喉罩的型号为3~#和4~#,分别占28.5%和71.5%;S组使用喉罩的型号为49~#和51~#,分别占86.4%和13.6%。L组与S组术后24h分别有5例(1.3%)及9例(1.65%)患者出现声音嘶哑,术后3d内分别有12例(3.1%)及19例(3.5%)患者体温升高超过38℃。结论 LMA Supreme^(TM)与SLIPA^(TM)喉罩均可满足成年女性患者全身麻醉气道管理的需求,其术后并发症无明显差别。Objective To compare the usage of two kinds of laryngeal mask LMA SupremeTM and SLIPATM in airway management of general anesthesia in adult female patients and the related postoperative complications, so as to provide the basis evidence for guiding the usage of the laryngeal mask airway. Methods The DoCare anesthesia information management system was used to retrieve the cases of female patients treated with LMA SupremeTM （group L） or SLIPATM （group S） to manage airway during general anesthesia during Oct. 2017 to Mar. 2018. The possibly associated complications occurred during or after operation were recorded after checking the anesthesia information management system. Results A total of 924 adult female patients were undergone the LMA SupremeTM （379 cases, 41%） or SLIPATM （545 cases, 59%） during operation. The patients came from the department of breast specialist, gynecology, plastic surgery, tumor surgery and other departments. In group L, the size 3＂ and 4＂ laryngeal mask were used in proportions of 28.5% and 71.5%, respectively. And in group S, size 49＂ and 51＂ laryngeal airway were used in proportions of 86.4% and 13.6%, respectively. There were no details about the possible complications such as pharynx pain associated with the laryngeal mask application in the doctor＇s record 24 hours after the operation. However, there were 5 cases of hoarseness occurred 24h after operation in group L （1.3%） and 9 cases in group S （1.65%）, and 12 cases of risen temperature over 38 ℃ occurred within 3 days after operation in group L （3.1%）, and 19 cases in group S （3.5%）. Conclusion Adult female patients undergone general anesthesia using SLIPA TM and LMA Supreme TM laryngeal mask airway can meet clinical needs wonderful without significant difference in postoperative complications between the two kinds of laryngeal mask airway.

关 键 词：喉罩 气道管理 手术后并发症 麻醉信息系统 

分 类 号：R614.2[医药卫生—麻醉学]