SLIPA喉罩用于全麻妇科腹腔镜手术气道管理的效果分析.docVIP

SLIPA喉罩用于全麻妇科腹腔镜手术气道管理的效果 赵东芳 张付军 （北京市平谷区妇幼保健院麻醉科，北京101200） 目的观察SLIPA喉罩用于企麻妇科腹腔镜手术中气道管理的安企性和有效性。 方法选80例择期妇科腹腔镜手术患者，美国麻醉师协会（ASA）分级I?II级，随机分 SLIPA喉罩组（S组）、气管插管组（T组）。记录插管时间、首次置管成功率；观察基础值 （To）.插管后lminCL）、插管后3min（T2）、拔管前即刻（T3）和拔管后lmin（（T.0各时点的平 均动脉压（MAP）、心率（HR）和血氧饱和度（SpO2）、两组控制呼吸时气腹前后不同时段的、 气道峰压（Ppeak） ＞潮气量（Vt）、呼气末二氧化碳分压（PetC02）及插管相关并发症。结 果T组患者T：、T3、T.?的MAP和HR比K和S组各对应时点均明品升高，差异有统计学意 义，S组T2时MAP明显低于K时，差异显著（P〈0.05）。两组术中通气均满意，Ppeak、 VT、PnC02组间比较各时点差异无显著性（P〉0.05）。与气腹前比较，气腹后Ppeak和PETCO2 组内比较均高于气腹前，差异显著（P〈0.05）。S组置管时间明显短于T组（P〈0.05）,两 组首次置管成功率无显著差异。拔管期及术后24h并发症，S组明显低于T组，差异品著（P〈 0.05）。结论SLIPA喉罩用于全麻妇科腹腔镜手术通气效果满意，患者应激反应小，安全可 行。 关键词 SLIPA喉罩：企麻；妇科腹腔镜手术；气管插管 Efficacy of SLIPA laryngeal Mask in Airway Management for Gynecological LaparoscopicSurgeries under General Anesthesia ZHAO Dong-Fang,ZHANG Fu-Jun （Department of Anesthesiology，Maternal and Child Health Hospital of Pinggu District, Beijing 101200 , China ） Abstract Objective: This study aims to evaluate the safety and efficacy of SLIPA laryngeal mask in airway management for gynecological laparoscopic surgeries under general anesthesia. Methods: Eighty patients who underwent elective gynecologic laparoscopic surgery with ASA status I II were enrolled and randomly divided into SLIPA laryngeal mask group (S group) and endotracheal intubation group (group T). Time for intubation and the success rate at the first attempt were recorded. Measurements of mean arterial pressure(MAP)，heart rate (HR) and oxygen saturation (SpO]) at baseline(To)，1 min (Ti), 3 min(T2)after intubation，immediately before extubation (T3)，and 1 min after extubation (T4) were collected. Airway peak pressure (Ppeak)，tidal volume (Vt), End-tidal CO2 partial pressure(FETCO2) were compared between two groups before and after establishing pneumoperitoneum，as well as intubation-related complications. Results: MAP and HR of the T group at points of T|，T3 and T4 were significantly higher than those at To as well as those of the S gro叩(P 0.05). MAP of the S group at T