CAJ | 학술논문

目的比较采用新型喉上通气装置与标准Ⅰ型喉罩通气在妇科腔镜手术中的应用效果.方法对73例妇科腹腔镜手术采用全身麻醉患者,按随机原则分为观察组40例和对照组33例,在手术麻醉中分别采用新型喉上通气装置(SLIPA)和标准Ⅰ型喉罩通气,麻醉过程中严密观察和记录两组患者的喉罩放置成功率、麻醉前后的咽喉出血、疼痛和其他相关指标.结果喉罩放置成功率观察组明显高于对照组(P＜0.05);咽喉出血、术后咽喉疼痛的发生率观察组明显低对照组(均P＜0.05).结论在妇科腹腔镜手术麻醉中应用SLIPA,具有操作简便、组织损伤轻、并发症少和使用安全等优点,值得临床推广.
목적 비교채용신형후상통기장치여표준Ⅰ형후조통기재부과강경수술중적응용효과.방법 대73례부과복강경수술채용전신마취환자,안수궤원칙분위관찰조40례화대조조33례,재수술마취중분별채용신형후상통기장치(SLIPA)화표준Ⅰ형후조통기,마취과정중엄밀관찰화기록량조환자적후조방치성공솔、마취전후적인후출혈、동통화기타상관지표.결과 후조방치성공솔관찰조명현고우대조조(P＜0.05);인후출혈、술후인후동통적발생솔관찰조명현저대조조(균P＜0.05).결론 재부과복강경수술마취중응용SLIPA,구유조작간편、조직손상경、병발증소화사용안전등우점,치득림상추엄.
Objective To compare new type streamlined liner pharynx airway with standard type Ⅰ laryngeal mask airway in the clinical effectiveness in gynecologic laparoscopic surgery.Methods Seventy three cases undergone gynecologic laparoscopic surgery were divided into two groups randomly.The observation group(40 cases) and the control group(33 cases) were maintained by streamlined liner pharynx airway(SLIPA) and standard type Ⅰ laryngeal mask airway respectively.The success rate of placement,throat hemorrhage and pain before/after anesthesia and other indicators.were strictly observed and recorded during anesthesia.Results The success rate of placement was significantly higher in the observation group than in the control group(P＜0.05).The incidence of throat hemorrhage and throat pain after surgery were significantly lower in the observation group(P＜0.05).Conclusion The streamlined liner pharynx airway could be easyly and safely placed and causes less tissue injury and complications in gynecologic laparoscopic surgery.SLIPA was worthy of being recommended in clinical surgery.