SLIPA^TM喉罩应用于小儿腹腔镜疝修补术中的可行性及安全性  

Feasibility and safety of the SLIPA^TM laryngeal mask for laparoscopic herniorrhaphy in children

作　　者：李书涛 朱青丹 LI Shutao;ZHU Qingdan(Department of Anesthesiology,Bao'an District Maternal and Child Health Hospital of Shenzhen Affiliated to Ji'nan University,Guangdong,Shenzhen 518102,China;Department of Obstetrics,Bao'an District Maternal and Child Health Hospital of Shenzhen Affiliated to Ji'nan University,Guangdong,Shenzhen 518102,China)

机构地区：[1]暨南大学附属深圳市宝安区妇幼保健院麻醉科,广东深圳518102 [2]暨南大学附属深圳市宝安区妇幼保健院产科,广东深圳518102

出　　处：《中国医药科学》2020年第9期165-168,共4页China Medicine And Pharmacy

摘　　要：目的探讨SLIPA^TM喉罩应用于小儿腹腔镜疝修补术中的可行性及安全性。方法纳入2018年6月~2019年6月在我院接受腹腔镜下疝修补术的小儿腹股沟疝患儿200例。根据随机数字表法分为对照组100例和观察组100例。对照组接受常规气管插管,观察组应用SLIPA^TM喉罩。观察两组患儿术中生命体征、手术情况和插管相关并发症的发生情况。结果两组患儿在麻醉诱导前、插入前和拔出后1min的心率、收缩压、舒张压和氧饱和度均无统计学差异(P>0.05),但观察组插入后1min的心率、收缩压和舒张压均显著低于对照组(P<0.05);观察组患儿的自主呼吸恢复时间、拔管(罩)时间和苏醒时间均显著短于对照组(P<0.05);观察组的并发症总发生率显著低于对照组,差异有统计学意义(24.00%vs 55.00%,P<0.05)。结论SLIPA^TM喉罩应用于小儿腹腔镜疝修补术可显著降低患儿应激反应,维持血流动力学稳定,降低插管相关并发症的发生风险,值得临床推广。Objective To investigate the feasibility and safety of the SLIPATM laryngeal mask for laparoscopic herniorrhaphy in children.Methods 200 children with inguinal hernia who received laparoscopic herniorrhaphy at our hospital from June 2018 to June 2019 were included.The children were divided into the control group(100 patients)and the observation group(100 patients)according to the random number table method.The control group received routine endotracheal intubation,while the observation group adopted the SLIPATM laryngeal mask.The intraoperative vital signs,surgical conditions,and complications related to intubation were observed in the two groups of patients.Results There was no significant difference in heart rate,systolic blood pressure,diastolic blood pressure,and oxygen saturation before anesthesia induction,before insertion and 1 minute after extraction between the two groups of children(P>0.05),while the heart rate,systolic blood pressure,and diastolic blood pressure in the observation group were significantly lower than those in the control group(P<0.05);the recovery time of autonomous respiration,extubation time,and awakening time of patients in the observation group were significantly shorter than those in the control group(P<0.05);the overall incidence of complications in the observation group was significantly lower than that in the control group,with statistically significant difference(24.00%vs 55.00%,P<0.05).Conclusion The application of SLIPATM laryngeal mask for laparoscopic herniorrhaphy in children can significantly reduce the stress response of children,maintain hemodynamic stability,and reduce the risk of intubation-related complications,which is worthy of clinical promotion.

关 键 词：SLIPA TM喉罩 小儿腹腔镜疝修补术 有效性 安全性 

分 类 号：R726.1[医药卫生—儿科]