HC可视喉镜在全麻病人诱导后置入喉罩的应用  

Application of HC visual laryngoscope in inducting laryngeal mask after general anesthesia

作　　者：赵彦春[1] 许明哲[1] 于国军[1] 

机构地区：[1]河南省洛阳正骨医院,河南洛阳471002

出　　处：《中医临床研究》2017年第20期127-128,共2页Clinical Journal Of Chinese Medicine

摘　　要：目的:探讨全麻病人诱导后HC可视喉镜辅助置入喉罩的可行性与效果。方法:择期行置入喉罩全身麻醉下手术的病人100例,ASA分级为Ⅰ或Ⅱ级。随机分为两组,HC可视喉镜组(H组)和对照组(L组),每组50例。在静脉快速诱导后H组用可视喉镜辅助下置入喉罩,L组采取标准法置入喉罩。记录喉罩一次置入的成功率、总成功率、喉罩置入所需时间以及拔除喉罩后表面有无血迹、术后有无咽痛等并发症情况,并记录两组置入喉罩前(T0),置入喉罩后1min(T1)心率,血压的变化。结果:H组和L组的喉罩置入总成功率分别为92%和76%,H组总成功率明显高于L组(P<0.05)。H组与置入喉罩前(T0)比较,置入喉罩后(T1)HR明显增快、SBP、DBP明显升高(P<0.05)。两组在一次置入的成功率、置入喉罩所需时间以及口腔损伤和术后咽痛比较差异无统计学意义。结论:可视喉镜辅助置入喉罩能明显提高喉罩置入的成功率,但对血流动力学的影响大。Objective:To investigate the feasibility and effect of HC visual laryngoscopy on laryngeal mask induction after generalanesthesia.Methods:100patients were randomly divided into the HC visual laryngoscopy group(H group)and control group(L group),each group of50cases.H group was given visible laryngoscopy.Results:The total success rate of laryngeal mask in group H and group Lwas92%and76%,respectively,P<0.05.SBP and DBP were significantly increased(P<0.05).Conclusion:Visual laryngoscopy assistedinsertion of laryngeal mask can significantly improve the success rate of laryngeal mask placement.

关 键 词：HC可视喉镜 喉罩 

分 类 号：R614.2[医药卫生—麻醉学]