双管喉管与双管喉罩用于全身麻醉患儿通气效果的比较.pdf

《双管喉管与双管喉罩用于全身麻醉患儿通气效果的比较.pdf》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。

1、·20·临床医学2012年4月第32卷第4期ClinicalMedicine，Apr．2012，Vo1．32，No．4双管喉管与双管喉罩用于全身麻醉患儿通气效果的比较胡胜红王胜斌徐四七(安徽医科大学附属安庆医院麻醉科，安庆246003)【摘要】目的比较双管喉管与双管喉罩用于全身麻醉患儿的通气效果。方法拟行全身麻醉的患儿40例，ASAI～Ⅱ级，随机分为双管喉管组(L组)和双管喉罩组(P组)，每组20例。采用咪唑达伦0．05ms／kg、丙泊酚1～2me,／kg、芬太尼2～4g／和阿曲库胺0．5ms／kg进行麻醉诱导，待肌松完全后插入适宜型号的

2、双管喉管或双管喉罩。记录插入时间和一次插入成功率；术中持续监测的脉搏氧饱和度(SpO：)、心率(HR)、气道峰压(Ppeak)和呼气末二氧化碳分压(P、c0)，间隔3分钟测量并记录一次无创血压；记录手术时间、清醒时间、拔除时间和术后24h内咽部不良反应的发生情况。结果两组插入时间和一次插入成功率比较差异均无统计学意义(P>0．05)；两组血流动力学平稳，SpO：、Ppeak和P、c0均在正常范围内，且差异均无统计学意义(P>0．05)；两组手术时间、清醒时间、拔除时间和术后24h内咽部不良反应发生率比较差异无统计学意义(P>0．05)。结

3、论双管喉管可以安全而有效地用于全身麻醉患儿，且通气效果与双管喉罩相似。【关键词】喉管；喉面罩；麻醉；儿科；呼吸；人工Comparisonofventilationeficacythroughthelaryngealtube-suctionairwayandProSeailaryngealmaskairwayduringanesthesiainpediatricpatientsHUSheng—hong，WANGSheng—bin，XUSi—qi．DepartmentofAnesthesiology，AnqingHospi—talAffili

4、atedtoAnhuiMedicalUniversity，Anqing246003，China【Abstract】ObjectiveTocomparetheventilationthroughthelaryngealtube—suctionairway(LTSA)andProSeallaryngealmaskairway(PLMA)duringanesthesiainpediatricpatients．MethodsFortyASAI一1Ipediatricpatientsunderwentelectivegeneralsurgerywe

5、rerandomlydividedintotwogroups：groupLTSA(groupL)andgroupPLMA(groupP)．Anesthesiawasin—ducedwithmidazolam0．05mg／kg，propofol1-2mkg，fentanyl2_4g／kgandatracurium0．5mg／kg．LTSAandPLMAwereinsertedwhenmuscleswerecompletelyrelaxedafteranesthesiainduction．Theinsertiontime，thesuccess

6、fulinsertionrateatfirstattemptwasrecorded．MAPandHRwererecordedandmonitoredinterval3rain．SpO2，peakairwaypressure(Ppeak)andPCO2werecontintmuslymonitoredduringanesthesia．Thedurationofoperation，recoverytime，extubationtimeandthepharyngealadverseresponseswithin24hoursafteropera

7、tionwererecorded．ResultsTheinsertiontime，thesuccessfulinsertionrateatfirstattempthadnosignificantdifferencebetweenthetwogroups(P>0．05)．SpO2，PpeakandPCO2ofthetwogroupswerewithinnormallimits，andtherewasnosignificantdifferencebetweethetwogroups．Themeanarterialpressure，heartr

8、ate，thedurationofoperation，recoverytime，extubationtimeandthepharyngedadverseresponseswithin24hou