摘要
目的评价双管喉罩在髋关节置换术中的应用价值。方法60例全麻患者随机分成两组，每组30例。Ⅰ组用双管喉罩，Ⅱ组用气管导管。监测并记录置入喉罩或插管前后、翻身后、切皮时、拔除喉罩或气管导管后，心率（HR）、平均动脉压（MAP）、呼气末二氧化碳分压（PetCO2）、气道压力（Paw）的变化，术中、术后发生各种并发症的例数。结果Ⅰ组置入喉罩后、拔除喉罩后，HR、MAP无明显变化（P〉0．05）；而Ⅱ组插管后、拔管后HR、MAP显著高于插管前（P〈0．05），亦明显高于同时点Ⅰ组（P〈0．05），其他时间点两组间差异无统计学意义（P〉0．05）。翻身前后两组间气道压力（Paw）和（PetCO2）差异无统计学意义（P〉0．05）。结论骨科髋关节置换术中使用双管喉罩具有操作简便，对呼吸、循环影响小，术后并发症少的优点，可推广应用。
Objective To assess the value of ProSeal-LMA （laryngeal mask airway） during hip replacement operation. Methods Sixty patients undergoing hip replacement operation were randomly divided into two groups with 30 cases in each. ProSeal-LMA was applied in Group I and normal endotracheal tube in Group Ⅱ. The parameters of heart rate （ HR）, mean arterial blood pressure （ MAP）, partial pressure of carbon dioxide in end expiratory gas （PetCO2 ） and airway pressure （Paw） were monitored and recorded in both groups at time points of before and after placing ProSeal-LMA or tracheal tube, body turning-over, skin incision and extubating of ProSeaI-LMA or tracheal tube. And also the cases with airway complications were reported. Results There was no significant changes of HR and MAP in Group Ⅰ at time points of placing and extracting ProSeal-LMA（P 〉 0. 05）. However, there was significant difference of HR and MAP in Group Ⅱ at time points of placing and extracting tracheal tube （ P 〈 0. 05 ）, And it was significantly higher than that in Group Ⅰ at the same time point （P 〈 0. 05）. No significant difference of these parameters was observed at other time points （ P 〉 0.05）. And also PetCO2 and Paw were not changed significantly between two groups at time points of before and after body turning over （P 〉 0. 05）. Conclusion ProSeal-LMA can be applied in hip replacement operation because of its simple handling, lesser effects upon respiration and circulation and fewer post-operative complications.
出处
《中华医学杂志》
CAS
CSCD
北大核心
2009年第27期1919-1921,共3页
National Medical Journal of China
关键词
第三代喉罩
气管导管
髋关节置换
全身麻醉
The ProSeal laryngeal mask airway
Tracheal tube
Hip replacement operation
General anesthesia
