中华医学杂志
中華醫學雜誌
중화의학잡지
National Medical Journal of China
2013年
19期
1479-1481
,共3页
全身麻醉%剖宫产%Suprem双腔喉罩
全身痳醉%剖宮產%Suprem雙腔喉罩
전신마취%부궁산%Suprem쌍강후조
General anesthesia%Cesarean section%Supreme dual-chamber laryngeal mask
目的 探讨Supreme双腔喉罩用于剖宫产全身麻醉(全麻)的可行性和优越性.方法 对2011年3月至2012年3月在泉州儿童医院麻醉科实施麻醉的300例美国麻醉师协会(ASA)分级Ⅰ或Ⅱ级,择期剖宫产的足月初产妇,经医院伦理委员会批准,采用随机数字表法随机分为3组,双腔喉罩组(A组100例)、气管插管组(B组100例)和腰麻组(C组100例),在不同时段观察产妇心电图,脉搏氧饱和度(Sp02),平均动脉压(MAP)、心率、Narcotrend数值及Apgar评分.结果 喉罩组插喉罩前后心率,MAP无明显改变,Narcotrend数值维持在麻醉水平,插管组插管前后心率[(100±5)次/min比(131 ±9)次/min]、MAP[(77 ±4) mm Hg比(111±8) mmHg]有明显升高,Narcotrend数值明显升高[(29±4)比(60±5)],二者相比差异有统计学意义(P＜0.05).喉罩组插喉罩所需时间显著短于气管插管组插管所需时间(P＜0.01),两组患者气道密封压,通气指标相比差异无明显统计学意义(P＞0.05).3组患者给药至胎儿娩出的时间均在5-10 min.3组新生儿Apgar评分相似,差异无统计学意义(P＞0.05).结论 双腔喉罩用于剖宫产全麻对胎儿Apgar评分无影响,具有可行性,其操作简单方便,可进行有效通气,对比气管插管有明显优越性.
目的 探討Supreme雙腔喉罩用于剖宮產全身痳醉(全痳)的可行性和優越性.方法 對2011年3月至2012年3月在泉州兒童醫院痳醉科實施痳醉的300例美國痳醉師協會(ASA)分級Ⅰ或Ⅱ級,擇期剖宮產的足月初產婦,經醫院倫理委員會批準,採用隨機數字錶法隨機分為3組,雙腔喉罩組(A組100例)、氣管插管組(B組100例)和腰痳組(C組100例),在不同時段觀察產婦心電圖,脈搏氧飽和度(Sp02),平均動脈壓(MAP)、心率、Narcotrend數值及Apgar評分.結果 喉罩組插喉罩前後心率,MAP無明顯改變,Narcotrend數值維持在痳醉水平,插管組插管前後心率[(100±5)次/min比(131 ±9)次/min]、MAP[(77 ±4) mm Hg比(111±8) mmHg]有明顯升高,Narcotrend數值明顯升高[(29±4)比(60±5)],二者相比差異有統計學意義(P＜0.05).喉罩組插喉罩所需時間顯著短于氣管插管組插管所需時間(P＜0.01),兩組患者氣道密封壓,通氣指標相比差異無明顯統計學意義(P＞0.05).3組患者給藥至胎兒娩齣的時間均在5-10 min.3組新生兒Apgar評分相似,差異無統計學意義(P＞0.05).結論 雙腔喉罩用于剖宮產全痳對胎兒Apgar評分無影響,具有可行性,其操作簡單方便,可進行有效通氣,對比氣管插管有明顯優越性.
목적 탐토Supreme쌍강후조용우부궁산전신마취(전마)적가행성화우월성.방법 대2011년3월지2012년3월재천주인동의원마취과실시마취적300례미국마취사협회(ASA)분급Ⅰ혹Ⅱ급,택기부궁산적족월초산부,경의원윤리위원회비준,채용수궤수자표법수궤분위3조,쌍강후조조(A조100례)、기관삽관조(B조100례)화요마조(C조100례),재불동시단관찰산부심전도,맥박양포화도(Sp02),평균동맥압(MAP)、심솔、Narcotrend수치급Apgar평분.결과 후조조삽후조전후심솔,MAP무명현개변,Narcotrend수치유지재마취수평,삽관조삽관전후심솔[(100±5)차/min비(131 ±9)차/min]、MAP[(77 ±4) mm Hg비(111±8) mmHg]유명현승고,Narcotrend수치명현승고[(29±4)비(60±5)],이자상비차이유통계학의의(P＜0.05).후조조삽후조소수시간현저단우기관삽관조삽관소수시간(P＜0.01),량조환자기도밀봉압,통기지표상비차이무명현통계학의의(P＞0.05).3조환자급약지태인면출적시간균재5-10 min.3조신생인Apgar평분상사,차이무통계학의의(P＞0.05).결론 쌍강후조용우부궁산전마대태인Apgar평분무영향,구유가행성,기조작간단방편,가진행유효통기,대비기관삽관유명현우월성.
Objective Explore the feasibility and superiority about Supreme double-lumen laryngeal mask airway for cesarean section anesthesia.Methods From March 2011 to March 2012,a total of 300 patients with American Society of Anesthesiologists (ASA) Ⅰ or Ⅱ foot of cesarean section in full-term pregnant women for the first time production of Quanzhou Women's and Children's Hospital were recruited,authenticated by Hospital Ethics Committee,they were randomly divided into three groups (Random number table),dual-chamber in the LMA group (A group of 100 cases),tracheal intubation group (B group of 100 cases) and spinal anesthesia group (C group of 100 cases).ECG,SpO2,MAP,heart rate,Narcotrend and Apgar scores were observed.Results Before and after the LMA group inserted laryngeal mask HR,MAP no significant change in the performance of Narcotrend value remained at the level of anesthesia,intubation before and after HR,MAP significantly increased performance of Narcotrend values significantly increased,both compared to the obvious statistical difference (P ＜ 0.05).The ventilation indicators of two groups compared to no significant difference (P ＞ 0.05).LMA group cover required intubation time was significantly shorter than the time required for intubation of endotracheal intubation group (P ＜ 0.01).Three groups of patient administration to the fetus at all times is in 5-10 min.Three groups similar to the Apgar score was no significant difference (P ＞ 0.05).Conclusion The dual-chamber laryngeal mask airway for caesarean section anesthesia,fetal Apgar scores,feasibility,and its operation is easy,safe and comfortable anesthesia,compared tracheal intubation has obvious superiority.
