瑞马唑仑镇静置入SaCo可视喉罩在病态肥胖患者胃减容术气道管理中的应用  

Application efficiency of remimazolam sedation in SaCo visual laryngeal mask placement for airway management during gastric volume reduction surgery in morbidly obese patients

作　　者：吴磊[1] 解凤磊 苏小虎 吴浩 WU Lei;XIE Fenglei;SU Xiaohu;WU Hao(Department of Anesthesiology,Affiliated Suqian First People's Hospital,Nanjing Medical University,Suqian 223800,CHINA)

机构地区：[1]南京医科大学附属宿迁市第一人民医院麻醉科,江苏宿迁223800 [2]亳州市人民医院麻醉科,安徽

出　　处：《江苏医药》2024年第6期550-553,共4页Jiangsu Medical Journal

基　　金：江苏省妇幼科研项目(F201753)。

摘　　要：目的探讨瑞马唑仑镇静置入SaCo可视喉罩在病态肥胖患者胃减容术气道管理中的应用效果。方法80例拟行胃减容术的病态肥胖患者随机分为两组,每组40例。观察组静脉注射瑞马唑仑0.1 mg/kg镇静后置入SaCo可视喉罩,对照组静脉注射丙泊酚1 mg/kg镇静后置入SaCo可视喉罩。比较两组喉罩置入时间、喉罩置入期间呛咳发生率及体动发生率、低氧血症发生率、喉罩引导气管插管成功率、喉罩置入时舒适度评分和置入喉罩过程遗忘程度。结果观察组喉罩置入时舒适度评分低于对照组(P<0.05),而两组喉罩置入时间、喉罩置入期间呛咳发生率、体动发生率、低氧血症发生率和喉罩引导气管插管成功率相比差异无统计学意义(P>0.05)。观察组置入喉罩过程完全遗忘患者比例高于对照组(P<0.05)。结论与丙泊酚镇静比较,瑞马唑仑镇静置入SaCo可视喉罩可提高病态肥胖患者胃减容术气道管理的安全性,增加患者的舒适度。Objective To observe the application efficiency of remimazolam sedation in the SaCo visual laryngeal mask placement for airway management during gastric volume reduction surgery in morbidly obese patients.Methods Eighty morbidly obese patients undergoing gastric volume reduction surgery were randomly divided into two groups with 40 cases each.During the placement of SaCo visual laryngeal mask,sedation with remimazolam 0.1 mg/kg was used in group A and sedation with propofol 1 mg/kg was used in group B.The time of laryngeal mask placement,the incidence of coughing and body movement during laryngeal mask placement,the incidence of hypoxemia,the success rate of tracheal intubation guided by laryngeal mask,the comfort score during laryngeal mask placement,and the degree of forgetting the placement process were compared between the two groups.Results The comfort score during the placement of laryngeal mask in group A was lower than that in group B(P<0.05),while there were no significant differences in the time of laryngeal mask placement,the incidence of coughing,body movement,hypoxemia,and the success rate of tracheal intubation between the two groups(P>0.05).The proportion of the patients completely forgetting the placement of laryngeal mask in group A was higher than that in group B(P<o.05).Conclusion Compared with propofol sedation,remimazolam sedation can increase the safety of airway management and improve comfort in the patients undergoing gastric volume reduction surgery for morbid obesity.

关 键 词：瑞马唑仑 丙泊酚 镇静 SaCo可视喉罩 病态肥胖 

分 类 号：R614[医药卫生—麻醉学]