对比不同气管插管方法对全麻妇科手术患者应激反应的影响.pdf

Advances in Clinical Medicine 临床医学进展, 2014, 4, 64-68 Published Online December 2014 in Hans. /journal/acm /10.12677/acm.2014.44012 Effect of the Different Tracheal Intubation Methods on Stress Reaction in Patients Undergoing Gynecologic Operation with General Anesthesia 1* 1 2 2 2 Ming Chen , Min Ye , Chunlin Wang , Hong He , Xun Chen 1Shanghai American-Sino OB/GYN Service Hospital, Shanghai 2 Shanghai Changning Maternity & Infant Health Hospital, Shanghai * Email: th th rd Received: Nov. 5 , 2014; revised: Nov. 25 , 2014; accepted: Dec. 3 , 2014 Copyright © 2014 by authors and Hans Publishers Inc. This work is licensed under the Creative Commons Attribution International License (CC BY). /licenses/by/4.0/ Abstract Objective: Comparing the traditional laryngoscope (MAC), intubation laryngeal mask (ILMA), the flexible light wand guided tracheal intubation effects on stress reaction in patients undergoing Gynecological operation with General anesthesia. Methods: 90 patients undergoing Gynecologic operation with General anesthesia were randomly divided into three groups: the traditional la- ryngoscope group<A> (n = 30), intubation laryngeal mask group<B> (n = 30), the flexible light wand guided group<C> (n = 30); aging between 35 - 60, ASA I-II, Mallampati airway classification I-II. HR, MAP, GLU, COR were recorded before induction (T0), 1 min (T1), 3 min (T2), 5 min (T3) after intubation. Result: At T1, HR and MAP were significantly higher than those at T0 in group A and B (P < 0.01),