I-gel喉罩用于妇科腹腔镜手术中气道管理的效果

发布时间：2018-02-15 19:20

本文关键词： I-gel喉罩 Supreme喉罩妇科腹腔镜手术　出处：《广东医学》2017年16期 　论文类型：期刊论文

【摘要】：目的探讨I-gel喉罩用于妇科腹腔镜手术中气道管理的效果。方法选择妇科腹腔镜手术患者94例,经随机数字表法分为观察组及对照组各47例,两组患者均采用相同的麻醉方案,观察组患者置入I-gel喉罩,对照组置入Supreme喉罩。在喉罩置入前(T0)、置入时1 min(T1)、置入时3 min(T2)、建立气腹后20 min(T3)、术毕时(T4)的平均动脉压(MAP)、血氧饱和度(Sp O2)、心率(HR)、气道峰压(Ppeak)及呼气末二氧化碳分压(PET CO2)。记录两组患者喉罩置入时间、气道密封压、纤维支气管镜检查评分。记录两组患者不良反应情况。结果对照组中T3时刻HR及MAP水平均低于T0时刻,差异均有统计学意义(P0.05);观察组喉罩置入时间明显低于对照组,差异有统计学意义(P0.05);观察组不良反应发生率为8.51%,明显低于对照组的23.40%,差异有统计学意义(P0.05)。结论 I-gel喉罩用于妇科腹腔镜手术中,与Supreme喉罩相比,对患者血流动力学影响小,置入操作快捷,不良反应少,值得临床推广。
[Abstract]:Objective to investigate the effect of I-gel laryngeal mask on airway management in gynecological laparoscopic surgery. Methods 94 patients undergoing gynecologic laparoscopic surgery were randomly divided into two groups: observation group (n = 47) and control group (n = 47). Patients in the observation group were placed with I-gel laryngeal mask. In the control group, the Supreme larynx mask was implanted. The mean arterial pressure, oxygen saturation, heart rate, peak airway pressure, peak airway pressure and end expiratory carbon dioxide fraction were established 20 min after pneumoperitoneum, 20 min after pneumoperitoneum and 30 min after operation. The time of laryngeal mask placement in both groups was recorded. Results in the control group, HR and MAP levels at T3 moment were lower than those at T0 time. The time of laryngeal mask placement in the observation group was significantly lower than that in the control group. The incidence of adverse reactions in the observation group was 8.51, which was significantly lower than that in the control group (23.405.Conclusion I-gel larynx mask was used in gynecological laparoscopic surgery, and compared with Supreme laryngeal mask, it had little effect on hemodynamics. The placement operation is quick and the adverse reaction is less, so it is worth popularizing.
【作者单位】：上海市松江区中心医院麻醉科;
【分类号】：R614

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