中华麻醉学杂志
中華痳醉學雜誌
중화마취학잡지
CHINESE JOURNAL OF ANESTHESIOLOGY
2014年
4期
392-394
,共3页
神经肌肉阻滞%喉面罩%气道密封压
神經肌肉阻滯%喉麵罩%氣道密封壓
신경기육조체%후면조%기도밀봉압
Neuromuscular blockade%Laryngeal masks%Airway seal pressure
目的 评价肌松因素对全麻患者i-gel喉罩气道密封压的影响.方法 择期i-gel喉罩通气下全麻患者60例,年龄18 ～ 64岁,采用随机数字表法,将其分为3组(n=20):对照组(C组)、罗库溴铵0.3 mg/kg组(R1组)和罗库溴铵0.6 mg/kg组(R2组).3组均靶控输注异丙酚和瑞芬太尼麻醉诱导,异丙酚血浆靶浓度为3.5 μg/ml,瑞芬太尼效应室靶浓度为3.0 ng/ml,待患者意识消失,药物血浆和效应室浓度达平衡后置入i-gel喉罩,进行机械通气.置入喉罩后R1组和R2组分别注射罗库溴铵0.3、0.6 mg/kg.分别于置入喉罩后即刻和给予罗库溴铵后1 min测定气道密封压.结果 3组间及组内气道密封压比较差异均无统计学意义(P＞0.05).结论 肌松因素对全麻患者i-gel喉罩气道密封压无明显影响.
目的 評價肌鬆因素對全痳患者i-gel喉罩氣道密封壓的影響.方法 擇期i-gel喉罩通氣下全痳患者60例,年齡18 ～ 64歲,採用隨機數字錶法,將其分為3組(n=20):對照組(C組)、囉庫溴銨0.3 mg/kg組(R1組)和囉庫溴銨0.6 mg/kg組(R2組).3組均靶控輸註異丙酚和瑞芬太尼痳醉誘導,異丙酚血漿靶濃度為3.5 μg/ml,瑞芬太尼效應室靶濃度為3.0 ng/ml,待患者意識消失,藥物血漿和效應室濃度達平衡後置入i-gel喉罩,進行機械通氣.置入喉罩後R1組和R2組分彆註射囉庫溴銨0.3、0.6 mg/kg.分彆于置入喉罩後即刻和給予囉庫溴銨後1 min測定氣道密封壓.結果 3組間及組內氣道密封壓比較差異均無統計學意義(P＞0.05).結論 肌鬆因素對全痳患者i-gel喉罩氣道密封壓無明顯影響.
목적 평개기송인소대전마환자i-gel후조기도밀봉압적영향.방법 택기i-gel후조통기하전마환자60례,년령18 ～ 64세,채용수궤수자표법,장기분위3조(n=20):대조조(C조)、라고추안0.3 mg/kg조(R1조)화라고추안0.6 mg/kg조(R2조).3조균파공수주이병분화서분태니마취유도,이병분혈장파농도위3.5 μg/ml,서분태니효응실파농도위3.0 ng/ml,대환자의식소실,약물혈장화효응실농도체평형후치입i-gel후조,진행궤계통기.치입후조후R1조화R2조분별주사라고추안0.3、0.6 mg/kg.분별우치입후조후즉각화급여라고추안후1 min측정기도밀봉압.결과 3조간급조내기도밀봉압비교차이균무통계학의의(P＞0.05).결론 기송인소대전마환자i-gel후조기도밀봉압무명현영향.
Objective To evaluate the effect of neuromuscular block on the airway sealing pressure of laryngeal mask airway (LMA) i-gel in patients undergoing general anesthesia.Methods Sixty patients scheduled for elective surgery under general anesthesia with LMA i-gel were randomly allocated to one of three groups (n =20 each):control group (group C),rocuronium 0.3 mg/kg group (group R1) and rocuronium 0.6 mg/kg group (group R2).Anesthesia was induced with target-controlled infusion of propofol and remifentanil.The target plasma concentration of propofol was 3.5 μg/ml,and the target effect-site concentration of remifentanil was 3.0 ng/ml.When the patients lost consciousness and after the target plasma and effect-site concentrations were balanced,LMA i-gel was inserted to perform mechanical ventilation.After insertion of LMA i-gel,rocuronium 0.3 and 0.6 mg/kg were injected in R1 and R2 groups,respectively.The airway sealing pressure of LMA i-gel was detected immediately after insertion of LMA i-gel and at 1 min after administration of rocuronium.Results There was no significant difference in the airway sealing pressure of LMA i-gel between groups and within groups(P ＞ 0.05).Conclusion Neuromuscular block has no significant effect on the airway sealing pressure of LMA i-gel in patients undergoing general anesthesia.
