全凭静脉麻醉下经内镜逆行胰胆管造影术中双腔喉罩的临床应用研究  

Clinical application of double-lumen laryngeal mask airway in endoscopic retrograde cholangiopancreatography under total intravenous anesthesia

作　　者：强宁娟 王瑞玲[1] Ning-juan Qiang;Rui-ling Wang(Department of Anesthesiology, Baoji People’s Hospital, Baoji, Shaanxi 721000, China)

机构地区：[1]陕西省宝鸡市人民医院麻醉科,陕西宝鸡721000

出　　处：《中国内镜杂志》2018年第3期55-59,共5页China Journal of Endoscopy

摘　　要：目的研究全凭静脉麻醉下经内镜逆行胰胆管造影术(ERCP)中双腔喉罩的临床应用。方法共有60名年龄为60~80岁择期行ERCP的患者入选。患者被随机分为两组:A组接受在全凭静脉麻醉行该手术而不使用任何气道装置;B组接受在麻醉行该手术使用双腔喉罩通气进行气道管理。对比术中、术后血流动力学变化及内镜医师的满意度。结果 B组顺利插入食管时间明显短于A组,B组内镜医师及患者的满意度得分高于A组。在ERCP操作中A组血氧饱和度(Sp O2)降低的发生率明显高于B组。结论 ERCP应在最佳条件下进行,以避免出现不必要的并发症,如与误吸相关的疾病。因此,根据双腔喉罩结构的特质,其在ERCP麻醉镇静中的应用更安全,更舒适,更有效。Objective To analyze the clinical application of double tube laryngeal mask airway in endoscopic retrograde cholangiopancreatography under total intravenous anesthesia.Method60patients between the ages of60and80years who were scheduled for elective ERCP were enrolled.The patients were randomly assigned to two groups:groups A and B.Those in group A underwent the procedure with sedation without any airway instruments and those in group B underwent procedure after sedation and airway management with double tube laryngeal mask airway.Intraoperative and postoperative vital signs as well as the satisfaction of the endoscopists were recorded.Result The time of successful insertion of esophagus in group B was shorter than that in group A,and the visual analogue score of pain in group B was lower than that in group A,and the satisfaction degree of endoscopic physicians in group B was higher than that in group A.The incidence of desaturation during ERCP was significantly higher in group A than in group B.Conclusion In conclusion,ERCP should be performed under optimal conditions to avoid the occurrence of unwanted complications,such as aspiration-related disorders.Therefore,according to the structural properties of double tube laryngeal mask airway,sedation anesthesia application with double tube laryngeal mask airway in ERCP will be safer,more comfortable,and more effective.

关 键 词：镇静 双腔喉罩 内镜逆行胰胆管造影 

分 类 号：R614.2[医药卫生—麻醉学]