摘要
目的评价双管型喉罩通气与气管插管在急诊手术中对血流动力学的影响。方法急诊手术病人56例全麻下行插管通气，急性病情发作前ASAⅠ～Ⅱ级，随机分为盲探双管型喉罩插管组和直接喉镜经口气管插管组。记录两组患者于插管前即刻、插管中、插管后5min的SBP、DBP、HR和SpO2及一次置管成功率、插管时间及插管后咽喉疼痛、声音嘶哑等不良反应。结果两组一次置管成功率、置管时间、术后咽喉疼痛、声音嘶哑的发生率，PLMA组为96．43％、（19．7±5．7）S和7．1％；TT组为100％、（27．9±11．3）S和39．29％。PLMA组置管时间较TT组明显缩短（P〈0．05），术后咽喉疼痛、声音嘶哑发生率明显减少（P〈0．01）；两组置管中SBP和HR均明显升高，其中TT组较PI。MA升高明显（P〈0．05），5min后均逐渐降至置管前水平。一次置管成功率、DBP和SpO2两组无明显差异。结论双管型喉罩置入引起心血管反应轻微。双管型喉罩通气做为急诊手术患者的通气是有效的。
Objective To compare the hemodynamic responses to orotraeheal intubation during emergency operation with the proseal laryngeal mask airway and endotracheal Intubation. Methods Fifty six patients who were ASA GRADE Ⅰ～Ⅱ before onset undergoing orotracheal intubation were randomly dirideed into either without laryngoscope direct proseal laryngeal mask intubation（PLMA） group or direct laryngoscope endotraeheal intubation （TT） group. SBP ,DBP ,HR and SpO2 were recorded before, durring and 5 minutes after intubation. Intubation time and first attempt insertion success rate were recordeddso. All patients were followed up postoperatively for adverse effects like sore throat or hoarseness. Results In intubation time,first attempt insertion success rate and adverse effects like sore throat or hoarseness,PLMA group was 96. 43% , （ 19.7±5.7） s and 7. 1% ,TT group was 100% , （27.9±11.3） s and 39.29% . Intubation time was significantly shorter and adverse effects like sore throat or hoarseness were lower in the PLMA group than TT group （ P 〈 0.05 ）. （SBP） and HR were significantly increased after intubation as compared with the baseline before intubation between the two groups, but TT group was wore significant than PLMA group（P 〈 0.05 ）. SBP and HR decreased to the level af before intubation after 5minutes. There were no significant differences in first attempt insertion success rate,DBP and SpO2 between the two groups. Conclusion The hemodynamic responses to orotracheal intubation was lighter with the proseal laryngeal mask,which is effectiver during emergency operation.
出处
《医学研究杂志》
2008年第10期105-107,共3页
Journal of Medical Research
关键词
喉罩
气管插管
急诊手术
麻醉
Laryngeal mask
Endotracheal lntubation
Emergency operation
Anaesthesia
