全身麻醉手术中气管插管和喉罩通气道对术后肺部并发症的影响  

Effects of endotracheal tube and laryngeal mask airwayon postoperative pulmonary complications in general anesthesia

作　　者：彭煜 易杰 PENG Yu;YI Jie(Department of Anesthesiology,Peking Union Medical College Hospital,CAMS&PUMC,Beijing 100730,China)

机构地区：[1]中国医学科学院、北京协和医学院、北京协和医院麻醉科,北京100730

出　　处：《基础医学与临床》2024年第9期1314-1319,共6页Basic and Clinical Medicine

基　　金：国家高水平医院临床研究基金(2022-PUMCH-B-006);首都发展科研专项基金(2018-2-4013)。

摘　　要：全身麻醉(全麻)手术是否出现术后肺部并发症(PPCs)是影响患者预后的一大关键因素。选择不同的气道管理工具能否影响PPCs的发生,尚无充分临床证据证实。全麻手术中应用的气道管理工具可以分为两大类:声门上气道管理工具和声门下气道管理工具,喉罩通气道(LMA)和气管插管(ETT)分别是其中的典型代表,也是如今全麻手术中应用最为广泛的两种气道管理工具。因此,有必要对全麻手术中这两个主流气道管理工具对术后肺部并发症的影响做一综述,为临床上全麻手术时气道管理工具的选择提供理论基础。Postoperative pulmonary complications(PPCs)after general anesthesia surgery significantly affect patient prognosis.However,there′s insufficient evidence to confirm if different airway management tools influence PPCs.Airway management tools used in general anesthesia surgery can be divided into two categories:supraglottic and subglottic.Among them,the laryngeal mask airway(LMA)and endotracheal tube(ETT)are typical representatives and are the two most widely used airway management tools in general anesthesia surgery.Therefore,it is necessary to review and evaluated the effects of these two mainstream airway management tools in general anesthesia surgery on PPCs,thus providing a theoretical basis for the selection of airway management tools during general anesthesia surgery in clinical practice.

关 键 词：气管插管 喉罩通气道 术后肺部并发症 

分 类 号：R614.2[医药卫生—麻醉学]