浅谈喉罩通气全麻在临床中的应用.docVIP

精品论文 参考文献 浅谈喉罩通气全麻在临床中的应用 梁安伟 (广西壮族自治区河池市第一人民医院麻醉科 546300) 【摘要】目的 探讨带压力指示器普通型喉罩在临床麻醉中的应用情况。方法 对本院180例手术（其中腹腔镜手术90例，开腹妇科手术50例，骨科手术40例）应用喉罩情况进行分析。记录置入喉罩操作成功率，记录置入前、置入后2分钟、拔出前、拔出后2分钟的HR、S B P、D BP的变化，观察拔出喉罩后罩囊内有无污物，有无返流误吸发生，询问患者有无咽喉部疼痛。结果 喉罩置入有1例失败，成功率99.6%。HR、SBP、DBP置入后与置入前比较、拔出后与拔出前比较差异无统计学意义。拔出喉罩后有5例罩囊内出现少量分泌物，有1例自述有咽喉部痛，无返流误吸发生。结论 喉罩是一种安全有效的气道维持方法，是气管内插管的补充。在临床麻醉的应用中有其独到的优点，值得推广。 【关键词】喉罩 全麻 应用 【中图分类号】R614 【文献标识码】A 【文章编号】2095-1752（2012）01-0349-01 【Abstract】Objective: To investigate the pressure indicator with normal laryngeal mask in the application of clinical anesthesia. Methods: 292 cases of hospital surgery (including laparoscopic surgery 140 cases, 100 cases of abdominal gynecological surgery, orthopedic surgery, 52 cases) laryngeal mask applied to analyze the situation. Record the success rate of laryngeal mask insertion, into the record before, placed after 2 minutes, pull out the front, pull out after 2 minutes of HR, SBP, DBP changes were observed after laryngeal mask hood pulled capsule with or without dirt , with or without reflux aspiration occurred, asking whether patients throat pain. Results: LMA insertion failed in 1 case, the success rate of 99.6%.HR, SBP, DBP after implantation compared with before implantation, after pull out pull out before the difference was not statistically significant. Pull out 5 cases of laryngeal mask hoodcapsule after a small amount of discharge, 1 patient reported having throat pain, regurgitation without aspiration occurred. Conclusion: The LMA is a safe and effective method of airway maintenance, endotracheal intubation is added. In clinical anesthesia application has its unique advantages, it is worth promoting. 【Key words】Laryngeal mask anesthesia applicati 喉罩主要由套囊、喉罩插管、指示球囊、充气管、机器端接头和充气阀组成。适用于麻醉或药物镇静的病人以及急救和复苏时需紧急进行人工通气支持的病人，以达到上呼吸道通畅。特点有：与气管插管相比较，喉道刺激小，呼吸道机械性梗阻少，病人更易于接受；插入和拔出时心血管系统反应较小；术后较小发生咽喉痛；无需使用咽喉及肌松剂便可置入；操作简单、易学、初学者经数次训练便可掌。现将我院临床应用体会总结如下。 1 资料和方法 一般资料 选择腹腔镜手术90例（其中胆囊切除术45例，妇科手术45例），开腹