欧普乐喉罩在小儿全麻手术中应用的探讨

发布时间：2018-01-20 11:59

本文关键词： 欧普乐喉罩气管插管小儿　出处：《东南大学学报(医学版)》2015年02期 　论文类型：期刊论文

【摘要】：目的:探讨欧普乐喉罩(OPLAC)在小儿麻醉中应用的可行性和安全性。方法:择期外科手术患儿100例,随机均分为欧普乐喉罩组(O组)和气管插管组(T组),各50例。经静脉麻醉诱导后,记录围麻醉期不同时间点的心率(HR)、舒张压(DBP)、收缩压(SBP)、脉搏血氧饱和度(Sp O2)、潮气量(VT)、呼气末二氧化碳分压(PETCO2)。记录两组置入喉罩(插管)成功率、置入时间以及拔除喉罩(插管)后有无低氧血症、喉痉挛、呛咳等并发症。结果:O组在插入和拔除喉罩时HR、SBP、DBP波动明显低于T组(P0.05);两组的Sp O2、VT、PETCO2比较差异无统计学意义(P0.05)。O组一次置入成功例数为47例(94%),经3次试插未成功而改用气管插管1例(2%),T组一次置入成功例数为48例(96%)。T组并发症发生例数多于O组,但两组差异无统计学意义(P0.05)。结论:欧普乐喉罩在小儿全麻手术中置入的成功率高,对血流动力学影响小,术中通气可靠,术后并发症少。
[Abstract]:Objective: to investigate the feasibility and safety of OPLAC in the treatment of pediatric anesthesia. All patients were randomly divided into two groups: group O (Oplar laryngeal mask group) and group T (50 cases in tracheal intubation group). After induction of intravenous anesthesia, heart rate (HRV) and diastolic blood pressure (DBP) were recorded at different time points during anesthesia. Systolic blood pressure (SBP), pulse oxygen saturation (SPO _ 2), tidal volume (VT), end expiratory carbon dioxide pressure (PETCO _ 2). The success rate of laryngeal mask (intubation) was recorded in the two groups. Results there were complications such as hypoxiaemia, laryngeal spasm, cough and so on after the laryngeal mask (intubation) was removed. Results in group O, HR-SBP was taken into and out of larynx mask. The fluctuation of DBP was significantly lower than that of group T (P 0.05). There was no significant difference between the two groups in the comparison of PETCO _ 2 between the two groups. There was no significant difference between the two groups. The number of successful cases in group P _ (0.05) was 47 cases (P _ (94)). One case of tracheal intubation was used in group T (48 cases). The complications in group T were more than those in group O (n = 48), and the number of complications in group T was higher than that in group O (P < 0.05). The number of complications in group T was higher than that in group O. However, there was no significant difference between the two groups (P 0.05). Conclusion: the success rate of Oplar laryngectomy in pediatric general anesthesia is high, the hemodynamic effect is small, the ventilation is reliable during operation, and the postoperative complications are less.
【作者单位】：徐州市儿童医院麻醉科;
【分类号】：R726.1
【正文快照】： 欧普乐喉罩(Oro-Pharyngeal airway cap,OPLAC)是根据东方人口咽部解剖而设计的一种新型免充气喉罩,主要特点是无套囊、罩体短而粗,形状更圆,适合东方人短而窄、茶杯状的咽喉结构[1]。其在成人手术中已广泛应用,但在小儿患者中的应用仍无报道。本研究旨在通过对欧普乐喉罩和气

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