摘要
目的:探讨双管喉罩与普通喉罩用于不同体质指数成人患者麻醉的安全性与有效性。方法:择期全麻仰卧位泌尿外科及乳腺外科手术患者300例,ASAⅠ～Ⅱ级,根据体质指数的不同,采用分层随机的方法分为低体质指数组(L组)、中等体质指数组(M组)、高体质指数组(H组),组内随机分为双管喉罩组(LMA-S组)和普通喉罩组(LMA组),每组50例,麻醉后分别置入双管喉罩或普通喉罩。评价2种喉罩置入时间、一次性置入成功率、机械通气漏气率及术中移位情况。结果:H组:LMA-S组一次性置入成功率高于LMA组(χ2=10.667,P<0.001),漏气率较LMA组降低(χ2=4.110,P=0.043)。L组:LMA-S组移位率低于LMA组(χ2=3.934,P=0.047)。结论:对于高体质指数成人患者,双管喉罩较普通喉罩通气满意率高,且安全。
Aim： To compare the applications of LMA supreme and standard LMA in patients with different body mass index.Methods：Three hundred cases were to accept urology and breast surgery,with ASA Ⅰ~Ⅱ were allocated into group L,group M and group H according to their body mass index.Each group was randomly allocated into either LMA-S group or LMA group.The insertion time, success rate,leak rate and sliding position rate were recorded.Results：In group H,success rate was significantly higher in LMA-S group than that of LMA group （χ2=10.667,P0.001）,while the leak rate was lower in LMA-S group（χ2=4.110,P=0.043）.However, in group L, LMA-S group had lower sliding position rate compared with that of LMA group（χ2=3.934,P=0.047）.Conclusion： It is more satisfactory and safer to use LMA-S in high body mass index patients.
出处
《郑州大学学报（医学版）》
CAS
北大核心
2012年第5期716-719,共4页
Journal of Zhengzhou University(Medical Sciences)
关键词
全身麻醉
双管喉罩
普通喉罩
体质指数
general anesthesia
LMA supreme
standard LMA
body mass index
