CAJ | 학술논문

目的研究Supreme喉罩(SLMA)在全身麻醉侧卧位后腹腔镜手术中的应用.方法选取ASA分级Ⅰ～Ⅱ级择期行侧卧位后腹腔镜手术患者60例,按随机数字表法分为SLMA组和普通气管导管(GTF)组,每组30例.静脉快速诱导后分别置入SLMA和GTT建立人工气道.观察插管时间、一次插管成功率、心率、动脉有创血压(IVBP)和气道压力的变化及不良反应.结果 SLMA组插管时间[(15.1±4.0)s]短于GTT组[(30.5±16.2)s](t'=-5.05,P＜0.05).SLMA组和GTT组一次插管成功率[96.7%(29/30)比76.7%(23/30)]比较差异无统计学意义(P＞0.05).SLMA组插管前与插管后、拔管前与拔管后心率、IVBP比较差异均无统计学意义(P＞0.05);而GTT组比较差异均有统计学意义(P＜0.05).两组患者气腹前后气道平均压和气道峰压比较,差异均无统计学意义(P＞0.05).两组患者均未发生相关并发症.结论在侧卧位后腹腔镜手术全身麻醉时SLMA插管时间短,插管和拔管对心率和血压影响小,是建立人工气道的另一种方法.
목적 연구Supreme후조(SLMA)재전신마취측와위후복강경수술중적응용.방법 선취ASA분급Ⅰ～Ⅱ급택기행측와위후복강경수술환자60례,안수궤수자표법분위SLMA조화보통기관도관(GTF)조,매조30례.정맥쾌속유도후분별치입SLMA화GTT건립인공기도.관찰삽관시간、일차삽관성공솔、심솔、동맥유창혈압(IVBP)화기도압력적변화급불량반응.결과 SLMA조삽관시간[(15.1±4.0)s]단우GTT조[(30.5±16.2)s](t'=-5.05,P＜0.05).SLMA조화GTT조일차삽관성공솔[96.7%(29/30)비76.7%(23/30)]비교차이무통계학의의(P＞0.05).SLMA조삽관전여삽관후、발관전여발관후심솔、IVBP비교차이균무통계학의의(P＞0.05);이GTT조비교차이균유통계학의의(P＜0.05).량조환자기복전후기도평균압화기도봉압비교,차이균무통계학의의(P＞0.05).량조환자균미발생상관병발증.결론 재측와위후복강경수술전신마취시SLMA삽관시간단,삽관화발관대심솔화혈압영향소,시건립인공기도적령일충방법.
Objective To study the application of Supreme laryngeal mask airway (SLMA) with new type to the general anesthesia of lateral position. Methods Sixty patients with ASA Ⅰ - Ⅱ who planned to receive selective poster laparoscopic surgery were divided into SLMA group and general tracheal tuber (GTT) group with 30 cases of each by random digits table. After fast intravenous induction SLMA and GTT were intubated respectively to obtain artificial airway in each group. The time of intubation, efficiency of success,heart rate(HR), invasive blood pressure(IVBP),airway pressure,side effects were observed and recorded. Results The intubation time in SLMA group [(15.1 ±4.0) s] was shorter than that in GTT group [(30.5 ±: 16.2) s] (t' =-5.05,P ＜0.05); there was no significant difference in efficiency of success between two groups [96.7%(29/30) vs. 76.7%(23/30),P＞ 0.05]. There was no significant difference in HR and IVBP during the time of intubation and extubation in SLMA group(P＞ 0.05), but not in GTT group(P＜0.05). There was no significant difference in the change of the airway pressure between two groups during the ventilation. There were no complications in two groups. Conclusions The time of SLMA intubation in the general anesthesia with lateral position is short. The effect of intubation and extubation to HR and blood pressure is light. The SLMA intubation is another way to set up safely artificial airway.