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1、喉罩与气管插管在老年患者短小手术中的应用比较1沈阳市军区总医院麻醉科辽宁沈阳110016【摘要】目的：比较喉罩与气管插管在老年患者行短小手术全身麻醉中的应用，探讨喉罩应用的有效性和安全性。方法：选取择期行短小手术患者60例，随机分为喉罩组(L组)和气管插管组(T组)，每组30例。观察患者入室后静卧lOmin(TO)、插管前即刻(T1)、插管后lmin(T2)、后5min(T3)、拔管前即刻(T4)、后lmin(T5)、后5min(T6)后BP(SBP、MAP和DBP)、HR、SpO2、PETC02和Ppeak;同时比较插、拔管期时间；术中麻醉药物及血管活性药物的使用情况以及术后2
2、4h相关并发症。结果：与T组比较：L组麻醉药物异丙酚、瑞芬太尼、维库溴铵的用量均有不同程度的减少(p<0.05)；且血管活性药物使用次数、术后苏醒时间及拔除喉罩较拔管时间明显减少、改良Aldrete评分达9分时间缩短5.6min(p<0.01)。L组T2、T3Ppeak明显增加(p<0.01)。结论:应用喉罩，操作简便，围术期麻醉用药量少，术中血流动力学稳定，术后苏醒快,很好维持气道，适用于老年人、短小、手术的全麻气道维持。【关键词】喉罩；老年；血流动力学【中图分类号】R614.1【文献标识码】B【文章编号】1764-8999(2015)7-0697-02Comparisonof
3、laryngealmaskandtrachealintubationinelderlypatientsintheshortoperationZouJi-He,JinChun-Ji,Zhoujin*Departmentofanesthesiology,GeneralHospitalofShenyangCommand,LiaoningShenyang,110016,China【Abstract】Objective:Tocomparetheapplicationoflaryngealmaskandtrachealintubationinelderlypatientsduringgene
4、ralanesthesiaforminorsurgery,toevaluatetheeffectivenessandsafetyoflaryngealmaskapplication.Methods:atotalof60patientsundergoingminorsurgery,wererandomlydividedintolaryngealmaskairwaygroup(groupL)andendotrachealintubationgroup(Tgroup),30patientsineachgroup.ToobservethepatientssupinelOmin(TO),b
5、eforeintubation(Tl),lminafterintubation(T2),5min(T3),immediatelybeforeextubation(T4),lmin(T5),5min(T6)BP(SBP,MAPandDBP),HR,SpO2,PETCO2andPpeak;alsoinserted,extubationtime;24hrelatedcomplicationsofanesthesiadrugsandtheuseofvasoactivedrugsandpostoperative.Results:comparedwithTgroup,Lgroup:reduc
6、etheanestheticpropofol,remifentanil,vecuroniumdosagehaddifferent(P<0.05);andtheuseofvasoactivedrugs,thenumberofpostoperativerecoverytimeandextubationtimeofpullingoutthelaryngealmaskwassignificantlyreduced,themodifiedAldretescoresof9toshortenthetimeof5.6min(P<0.01).IngroupL,T2,T3Ppeakinc
7、reasedsignificantly(P<0.01).Conclusion:theapplicationoflaryngealmaskairway,simpleoperation,perioperativeanesthesiaofsmalldosage,stablehemodynamics,rapidrecoveryaftersurgery,goodmaintenanceofairway,airwayingeneralanesthesiafortheelderly,sho
