中华医学杂志
中華醫學雜誌
중화의학잡지
National Medical Journal of China
2010年
27期
1907-1909
,共3页
李师阳%李群杰%姚伟瑜%肖全胜
李師暘%李群傑%姚偉瑜%肖全勝
리사양%리군걸%요위유%초전성
可视性气管插管型喉罩通气道%喉镜%全身麻醉%经口气管插管%血流动力学反应
可視性氣管插管型喉罩通氣道%喉鏡%全身痳醉%經口氣管插管%血流動力學反應
가시성기관삽관형후조통기도%후경%전신마취%경구기관삽관%혈류동역학반응
Laryngeal mask airway CTrachTM%Laryngoscope%General anesthesia%Orotracheal intubation%Hemodvnamic responses
目的 比较可视性气管插管型喉罩通气道(LMA CTrachTM)与喉镜经口气管插管对全身麻醉患者血流动力学的影响.方法 福建泉州市儿童医院2009年1-8月美国麻醉医师协会(ASA)分级为Ⅰ～Ⅱ级拟在经口气管插管全身麻醉下实施择期妇科手术患者60例,数字随机法分为Ctrach(C)组和喉镜(D)组,每组30例,经常规静脉诱导后行气管插管.监测麻醉诱导前(基础值)、监测麻醉诱导后、气管插管即刻和气管插管后3 min内的血压(BP)和心率(HR)变化.结果 C组的平均气管插管操作时间较D组明显延长.气管插管后两组的BP和HR均比麻醉诱导后明显升高.D组在气管插管即刻和插管后HR较基础值显著升高;C组在气管插管即刻和气管插管后的BP和HR与基础值均差异无统计学意义.气管插管即刻和气管插管后,D组的BP、HR显著高于C组(P<0.05).结论 全身麻醉下采用LMA CTrachTM气管插管比喉镜插管对血流动力学影响更为平稳.
目的 比較可視性氣管插管型喉罩通氣道(LMA CTrachTM)與喉鏡經口氣管插管對全身痳醉患者血流動力學的影響.方法 福建泉州市兒童醫院2009年1-8月美國痳醉醫師協會(ASA)分級為Ⅰ～Ⅱ級擬在經口氣管插管全身痳醉下實施擇期婦科手術患者60例,數字隨機法分為Ctrach(C)組和喉鏡(D)組,每組30例,經常規靜脈誘導後行氣管插管.鑑測痳醉誘導前(基礎值)、鑑測痳醉誘導後、氣管插管即刻和氣管插管後3 min內的血壓(BP)和心率(HR)變化.結果 C組的平均氣管插管操作時間較D組明顯延長.氣管插管後兩組的BP和HR均比痳醉誘導後明顯升高.D組在氣管插管即刻和插管後HR較基礎值顯著升高;C組在氣管插管即刻和氣管插管後的BP和HR與基礎值均差異無統計學意義.氣管插管即刻和氣管插管後,D組的BP、HR顯著高于C組(P<0.05).結論 全身痳醉下採用LMA CTrachTM氣管插管比喉鏡插管對血流動力學影響更為平穩.
목적 비교가시성기관삽관형후조통기도(LMA CTrachTM)여후경경구기관삽관대전신마취환자혈류동역학적영향.방법 복건천주시인동의원2009년1-8월미국마취의사협회(ASA)분급위Ⅰ～Ⅱ급의재경구기관삽관전신마취하실시택기부과수술환자60례,수자수궤법분위Ctrach(C)조화후경(D)조,매조30례,경상규정맥유도후행기관삽관.감측마취유도전(기출치)、감측마취유도후、기관삽관즉각화기관삽관후3 min내적혈압(BP)화심솔(HR)변화.결과 C조적평균기관삽관조작시간교D조명현연장.기관삽관후량조적BP화HR균비마취유도후명현승고.D조재기관삽관즉각화삽관후HR교기출치현저승고;C조재기관삽관즉각화기관삽관후적BP화HR여기출치균차이무통계학의의.기관삽관즉각화기관삽관후,D조적BP、HR현저고우C조(P<0.05).결론 전신마취하채용LMA CTrachTM기관삽관비후경삽관대혈류동역학영향경위평은.
Objective To compare the hemodynamic responses to orotracheal intubation with Laryngeal Mask Airway CTrachTM and Laryngoscope under general anesthesia. Methods 60 adult patients, scheduled for the elective gynecologic surgery under general anesthesia requiring the orotracheal intubation, were randomly allocated to either the CTrach ( C) group or the Laryngoscope ( D) group. After a standard intravenous anesthetic induction, the orotracheal intubation was performed. Noninvasive blood pressures and heart rates were recorded before (the baseline values ) and after anesthesia induction (the postinduction values),at intubation and every minute for the first 3 minutes after intubation. Results The mean intubation time was longer in the C group than in the D group. The tracheal intubations caused significant increases in blood pressures and heart rates in the two groups compared to their postinduction values. In the D group, HR at intubation and after intubation were significantly higher Compared to the baseline values. In the C group, BP and HR at intubation and after intubation were not significantly diferent from the baseline values. BP and HR at intubation and after intubation were significantly higher in the D group than in the C group. Conclusion The CTrach had advantage of attenuating the hemodynamic responses to the orotracheal intubation compared to the laryngoscope.
