CAJ | 학술논문

目的：筛选全麻机械通气使用SLIPA喉罩时发生漏气的相关因素。方法：选取短小全麻手术260例，记录患者性别、年龄、体质量指数、Mallampati分级、颈围、甲颏距、下颌骨水平长度、张口度以及牙齿情况。根据甲状软骨宽度选取合适型号的喉罩。操作者根据临床经验和潮气量监测判断喉罩是否漏气。采用卡方检验比较喉罩漏气和未漏气两组患者间各项指标的差异。结果：260例患者成功置入SLIPA喉罩，其中17例出现喉罩漏气。与喉罩未漏气患者相比，喉罩漏气患者短颏甲距（35％vs．5％）和无牙（29％vs．3％）的发生率更高（P＜0．05）。结论：SLIPA喉罩可成功用于全麻机械通气患者，而颏甲距离短小或无牙的患者使用该类型喉罩存在漏气风险。
목적：사선전마궤계통기사용SLIPA후조시발생루기적상관인소。방법：선취단소전마수술260례，기록환자성별、년령、체질량지수、Mallampati분급、경위、갑해거、하합골수평장도、장구도이급아치정황。근거갑상연골관도선취합괄형호적후조。조작자근거림상경험화조기량감측판단후조시부루기。채용잡방검험비교후조루기화미루기량조환자간각항지표적차이。결과：260례환자성공치입SLIPA후조，기중17례출현후조루기。여후조미루기환자상비，후조루기환자단해갑거（35％vs．5％）화무아（29％vs．3％）적발생솔경고（P＜0．05）。결론：SLIPA후조가성공용우전마궤계통기환자，이해갑거리단소혹무아적환자사용해류형후조존재루기풍험。
Objective:To verify the factors associated with gas leakage in applying of streamlined liner of the pharyngeal airway ( SLIPA) with classic la-ryngeal mask airway (LMA) to mechanically ventilated patients in general anesthesia.Methods:260 patients undergone minor surgery with general anes-thesia were included and recorded regarding the gender, ages, body mass index, Mallampati classification, neck circumference, thyromental distance (TMD),mandibular length,width of mouth opening and status of teeth before anesthesia.Selection of the LMA size was complied to the width of thyroid cartilage of patients,and determination of LMA leakage was based on the operator′s experience and tidal volume monitoring.χ2 test was used to analyze the difference concerning the parameters described previously between the leakage group and the non-leakage group.Results:SLIPA LMAs were successfully applied in 254 patients,whereas LMA leakage was found in 17 cases.Higher incidence of the gas leakage was seen patients with shorter TMD (35% vs. 5%) and without teeth (29% vs.3% )when the two groups were compared (P<0.05).Conclusion:SLIPA LMA can be safely used in mechanically ventilated patients under general anesthesia,yet higher incidences of gas leakage may be involved in those with short TMD or without teeth.