摘要
目的探索免充气型喉上通气道(SLIPA)喉罩在不同年龄患者膀胱镜手术中应用的安全性及有效性。方法选择2019-9至2019-11解放军总医院第一医学中心行膀胱镜手术患者100例,分为老年组(n=50)与非老年组(n=50)。比较两组患者不同时间点时平均血压(MBP)、心率(HR)以及喉罩漏气、更换喉罩、喉罩染血及术后咽痛、声嘶的发生情况。结果老年组和非老年组患者使用SLIPA喉罩的即时MBP[插入时(87.8±11.7)mmHg vs.(87.2±13.6)mmHg;拔除后(94.0±10.8)mmHg vs.(89.2±14.9)mmHg]和即时HR[插入时(65.0±9.88)次/min vs.(72.5±12.4)次/min;拔出时(76.4±10.0)次/min vs.(81.6±9.39)次/min]差异无统计学意义(P>0.05);两组患者喉罩漏气情况、拔除喉罩后声嘶、染血、咽痛进行对比差异无统计学意义(P>0.05);老年组8例患者经3次及以上的尝试后才成功插入喉罩,3次及以上的尝试率较非老年组高(16%vs.0%),差异有统计学意义(P<0.05)。结论SLIPA喉罩适用于不同年龄患者膀胱镜手术全麻中的气道管理,可降低插管和拔管过程中强烈的应激反应。
Objective To explore the safety and effectiveness of streamlined liner of pharyngeal airway(SLIPA)laryngeal mask in cystoscopy for patients of different ages.Methods A total of 100 patients undergoing cystoscopy in PLA General Hospital from September 2019 to November 2019 were selected and divided into the elderly group(n=50)and the non-elderly group(n=50).Average blood pressure(MBP),heart rate(HR),laryngeal mask leakage,replacement of laryngeal mask,blood contamination of laryngeal mask,postoperative pharyngeal pain and hoarseness were compared between the two groups at different time points.Results There were no significant difference of the immediate MBP[at insertion:(87.8±11.7)mmHg vs.(87.2±13.6)mmHg;after extraction:(94.0±10.8)mmHg vs.(89.2±14.9)mmHg)]and the immediate HR[at insertion:(65.0±9.88)bpm vs.(72.5±12.4)次/min;after extraction:(76.4±10.0)bpm vs.(81.6±9.39)次/min]between the elderly and non-elderly groups with SLIPA laryngeal mask(P>0.05).There was no significant difference in air leakage,hoarseness,blood stain and sore throat between the two groups(P>0.05).The laryngeal mask was successfully inserted in 8 patients in the elderly group after 3 or more attempts,the rate of 3 or more attempts was higher than that in the non-elderly group(16%vs.0%),and the difference was statistically significant(P<0.05).Conclusion SLIPA laryngeal mask is suitable for airway management under general anesthesia in cystoscopic surgery in patients of different ages,and it can reduce the strong stress response during intubation and extubation.
作者
姜姗
刘毅
JIANG Shan;LIU Yi(Department of Anesthesiology,the First Medical Center Chinese of PLA General Hospital,Beijing 100853,China;Department of Anesthesiology,the Third Medical Center of Chinese PLA General Hospital,Beijing 100039,China)
出处
《武警医学》
CAS
2022年第8期701-704,共4页
Medical Journal of the Chinese People's Armed Police Force
关键词
SLIPA喉罩
全身麻醉
气道管理
膀胱镜手术
SLIPA laryngeal mask
general anesthesia
airway management
cystoscopic surgery
