摘要
目的观察BlockBuster喉罩用于泌尿外科日间手术的临床效果。方法选择泌尿外科日间手术患者42例,男38例,女4例,年龄65~83岁,ASAⅠ~Ⅲ级,随机分为BlockBuster喉罩组（B组）和Proseal喉罩组（P组）,每组21例。麻醉诱导后根据患者体重选择适当型号的喉罩,B组置入BlockBuster喉罩,P组置入Proseal喉罩;记录两组喉罩一次置入成功率、喉罩置入后15 min PETCO2和Ppeak、经喉罩插管次数或喉罩换管次数、胃反流误吸和拔出喉罩后声嘶、咽痛等并发症的发生情况。结果 B组喉罩一次置入成功率明显高于P组,插管或换管率明显低于P组（P〈0.05）;B组喉罩置入后15min Ppeak明显低于P组（P〈0.05）;B组声嘶发生率明显低于P组（P〈0.05）。结论与Proseal喉罩比较,BlockBuster喉罩在泌尿外科日间手术中可提供良好的声门上气道管理,同时增加声门下应急气管插管通道,反流误吸发生风险小且术后声嘶、咽痛等并发症少,有效提高泌尿外科日间手术术后患者恢复质量。
Objective To observe the safety and efficacy of BlockBuster intubating laryngeal mask used in urologic day surgery.Methods Forty-two patients,38 males,4females,aged 65-83 years,falling into ASA Ⅰ-Ⅲ,undergoing urologic day surgery were randomized to two groups：BlockBuster intubating laryngeal mask group（group B,n=21）and Proseal laryngeal mask group（group P,n=21）.After anesthesia being induced,the patients were inserted BlockBuster intubating laryngeal mask or Proseal laryngeal mask accroding to body weight.The success rate of intubation,PETCO2 and Ppeak at fifteen minutes after intubation,laryngeal mask exchange rate and side effects such as aspiration and backflow,post-intubation trachyphonia and sore throat were also recorded.Results The success rate of intubation in group B was significantly higher than that in group P（P〈0.05）.Laryngeal mask exchange rate in group B was lower than that in group P significantly（P〈0.05）.Ppeak at fifteen minutes after intubation of group B was significantly lower than that in group P and post-intubation trachyphonia in group B was also significantly lower than that in group P（P〈0.05）.Conclusion Compared with Proseal laryngeal mask,BlockBuster intubating laryngeal mask has some advantages in providing better hyperlarynx ventilation and increasing green channel to intubation,reducing aspiration risk and post-intubation trachyphonia,hence BlockBuster intubating laryngeal mask can enhance the quality of resuscitation to patients undergoing urologic day surgery.
出处
《临床麻醉学杂志》
CAS
CSCD
北大核心
2016年第10期960-962,共3页
Journal of Clinical Anesthesiology
