I-gel喉罩与标准型喉罩用于保留自主呼吸下单孔胸腔镜肺大疱切除术气道管理的比较

发布时间：2018-10-22 14:13

【摘要】：目的:比较I-gel喉罩和标准型喉罩用于保留自主呼吸下单孔胸腔镜肺大疱切除术中气道管理的效果。方法:选择择期行单孔胸腔镜肺大疱切除术患者40例,随机分为I-gel喉罩组(I组)和标准型喉罩组(B组),麻醉诱导后分别置入I-gel喉罩和标准型喉罩;记录两组患者建立通气的时间、首次置入成功率、口咽腔漏气压、健侧卧位纤维支气管镜评级、术中调整喉罩位置例数及术后24 h内相关并发症。结果:与I组比较,B组建立通气时间较长(P0.05),首次置入成功例数较少(P0.05),口咽腔漏气压较低(P0.05);I组纤维支气管镜评级为Ⅰ级者少于B组(P0.05);健侧卧位下I组调整喉罩位置例数少于B组(P0.05);术后24 h内咽痛患者I组少于B组(P0.05)。结论:保留自主呼吸下单孔胸腔镜肺大疱切除术中,I-gel喉罩与标准型喉罩相比气道管理效果更佳,且并发症较少,更加便于气道管理。
[Abstract]:Objective: to compare the effect of I-gel laryngeal mask and standard laryngeal mask on airway management in patients undergoing thoracoscopic pneumonectomy. Methods: forty patients were randomly divided into I-gel laryngeal mask group (group I) and standard laryngeal mask group (group B). After anesthesia induction, I-gel larynx mask and standard larynx mask were implanted respectively. The time of establishing ventilation, the successful rate of first placement, the air leakage pressure of oropharyngeal cavity, the grading of fiberoptic bronchoscopy in the healthy lateral position, the cases of adjusting the position of larynx mask during operation and the related complications within 24 hours after operation were recorded. Results: compared with group I, the time of establishing ventilation in group B was longer (P0.05), the number of successful first placement was less (P0.05), the air pressure of oropharyngeal cavity leakage was lower (P0.05) than that of group B (P0.05), and the position of larynx mask was adjusted in group I under healthy lateral position (P0.05). The number of cases in group B was less than that in group B (P0.05), and that in group I was less than that in group B within 24 hours after operation (P0.05). Conclusion: compared with standard larynx mask, I-gel larynx mask is more effective in airway management than standard laryngeal mask, and has fewer complications and is more convenient for airway management.
【作者单位】：东南大学医学院附属南京胸科医院麻醉科;东南大学医学院附属南京胸科医院胸外科;
【分类号】：R614

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