BlockBuster喉罩在颅内动脉瘤栓塞术患者气道管理中的应用  

Application of BlockBuster Laryngeal Mask in Airway Management of Patients with Intracranial Aneurysm Embolization

作　　者：肖杨[1] 徐冰清[2] 郑军[3] 陈春[1] Xiao Yang;Xu Bingqing;Zheng Jun;Chen Chun(Department of Anesthesiology,Yichang Central People's Hospital,The First College of Clinical Medical Science,China Three Gorges University,Yichang 443003,China;Department of Oncology,Yichang Central People's Hospital,The First College of Clinical Medical Science,China Three Gorges University,Yichang 443003,China;Department of Hepatopancreatobilary Surgery,Yichang Central People's Hospital,The First College of Clinical Medical Science,China Three Gorges University,Yichang 443003,China)

机构地区：[1]三峡大学第一临床医学院[宜昌市中心人民医院]麻醉科,湖北宜昌443003 [2]三峡大学第一临床医学院[宜昌市中心人民医院]肿瘤科,湖北宜昌443003 [3]三峡大学第一临床医学院[宜昌市中心人民医院]肝胆脾胰外科,湖北宜昌443003

出　　处：《巴楚医学》2019年第4期20-24,共5页Bachu Medical Journal

基　　金：湖北陈孝平科技发展基金会专项基金（No:CXPJJH118000017-02-07）

摘　　要：目的:评价BlockBuster喉罩对颅内动脉瘤栓塞术患者气道管理的安全性及有效性。方法:选择行颅内动脉瘤栓塞术的患者60例,随机分为BlockBuster喉罩组(B组)和气管插管组(E组)。比较两组患者入室即刻(T0)、诱导即刻(T1)、插管即刻(T2)、插管后5 min(T3)、拔管即刻(T4)、拔管后5 min(T5)的平均动脉压(MAP)、心率(HR)、脉搏血氧饱和度(SpO 2)。记录两组T2~T4时点的呼气二氧化碳分压(pCO2)、气道峰压(Ppeak)。记录两组苏醒时间、喉罩(气管导管)拔除时间,及拔管呛咳躁动、声音嘶哑、咽喉痛的例数。结果:两组患者的性别、年龄、身体质量指数(BMI)、手术时间及麻醉时间,无统计学差异(均P>0.05)。与E组比较,B组T2和T4时刻MAP和HR波动较小,呛咳躁动、声音嘶哑和咽喉痛的发生率较低,苏醒时间和拔管时间明显缩短(均P<0.05)。两组患者各时点的脉搏血氧饱和度(SpO 2)、T2~T4时段内呼气pCO2和Ppeak,无明显统计学差异(均P>0.05)。结论:BlockBuster喉罩对颅内动脉瘤栓塞术患者的气道管理有效性好、安全性高。Objective:To assess the safety and efficacy of BlockBuster laryngeal mask in airway management of patients underwent intracranial aneurysm embolization.Methods:A total of 60 cases of intracranial aneurysms embolization were randomly divided into two groups,including the BlockBuster laryngeal mask group(group B)and the tracheal intubation group(group E).The mean arterial pressure(MAP),heart rate(HR)and pulse oxygen saturation(SpO2)were recorded at the time-point of entry(T0),induction(T1),intubation(T2),5 min after intubation(T3),extubation(T4)and 5 min after extubation(T5),respectively.Expiratory carbon dioxide partial pressure(pCO2)and peak airway pressure(Ppeak)were also analyzed from T2 to T4.In addition,the recovery time,the extubation time,as well as the incidence of adverse reactions to extubation,including cough and agitation,hoarseness and sore throat were recorded and compared.Results:There was no significant difference in gender,age,body mass index(BMI),operation time and anesthesia time between the two groups(all P>0.05).In group B,the MAP and HR at T2 and T4 point were more steady,the incidence of cough and agitation,hoarseness and sore throat were lower,and the waking time and tube extubation time were significantly shortened,than those of group E(all P<0.05).There was no significant difference of SpO2 at all time point,and no statistical difference of pCO2 and Ppeak at T2 to T4 point between the two groups(all P>0.05).Conclusion:BlockBuster laryngeal mask plays safe and effective role in airway management of patients undergoing intracranial aneurysm embolization.

关 键 词：颅内动脉瘤栓塞术 BlockBuster喉罩 气道管理 

分 类 号：R614[医药卫生—麻醉学]