医学临床研究
醫學臨床研究
의학림상연구
JOURNAL OF CLINICAL RESEARCH
2014年
12期
2439-2441
,共3页
喉面罩%高频喷射通气%输尿管镜检查%碎石术,激光%钬/治疗应用%麻醉
喉麵罩%高頻噴射通氣%輸尿管鏡檢查%碎石術,激光%鈥/治療應用%痳醉
후면조%고빈분사통기%수뇨관경검사%쇄석술,격광%화/치료응용%마취
Laryngeal Masks%High-Frequency Jet Ventilation%Ureteroscopy%Lithotripsy,Laser%Holmium/TU%Anesthesia
目的评价喉罩联合高频喷射通气应用于输尿管软镜钬激光碎石术的安全性。方法60例拟行输尿管软镜钬激光碎石患者,丙泊酚靶控输注静脉全麻后置入合适喉罩,联合高频喷射通气,比较通气前后平均动脉压(MAP)、心率(HR)、脉搏血氧饱和度(SpO2)、呼末二氧化碳分压(PET CO2),动脉氧分压(PaO2)、动脉二氧化碳分压(PaCO2)、气道压(Paw)等参数。结果输尿管软镜钬激光碎石术采用丙泊酚靶控输注静脉全麻,置入喉罩联合高频喷射通气,PETCO2、PaCO2、Paw、分别由高频喷射通气前的(32.01±3.31)mmHg,(40.83±2.68)mm-Hg,(14.7±1.74)cmH2O 下降至通气后的(22.07±3.31)mmHg,(33.3±2.29)mmHg,(4.6±1.59)cmH2O；PaO2由(279.7±51.5)mmHg增至(311.78±46.4)mmHg。结论全凭静脉麻醉,采用喉罩联合高频喷射通气,能安全地应用于输尿管软镜钬激光碎石术。
目的評價喉罩聯閤高頻噴射通氣應用于輸尿管軟鏡鈥激光碎石術的安全性。方法60例擬行輸尿管軟鏡鈥激光碎石患者,丙泊酚靶控輸註靜脈全痳後置入閤適喉罩,聯閤高頻噴射通氣,比較通氣前後平均動脈壓(MAP)、心率(HR)、脈搏血氧飽和度(SpO2)、呼末二氧化碳分壓(PET CO2),動脈氧分壓(PaO2)、動脈二氧化碳分壓(PaCO2)、氣道壓(Paw)等參數。結果輸尿管軟鏡鈥激光碎石術採用丙泊酚靶控輸註靜脈全痳,置入喉罩聯閤高頻噴射通氣,PETCO2、PaCO2、Paw、分彆由高頻噴射通氣前的(32.01±3.31)mmHg,(40.83±2.68)mm-Hg,(14.7±1.74)cmH2O 下降至通氣後的(22.07±3.31)mmHg,(33.3±2.29)mmHg,(4.6±1.59)cmH2O；PaO2由(279.7±51.5)mmHg增至(311.78±46.4)mmHg。結論全憑靜脈痳醉,採用喉罩聯閤高頻噴射通氣,能安全地應用于輸尿管軟鏡鈥激光碎石術。
목적평개후조연합고빈분사통기응용우수뇨관연경화격광쇄석술적안전성。방법60례의행수뇨관연경화격광쇄석환자,병박분파공수주정맥전마후치입합괄후조,연합고빈분사통기,비교통기전후평균동맥압(MAP)、심솔(HR)、맥박혈양포화도(SpO2)、호말이양화탄분압(PET CO2),동맥양분압(PaO2)、동맥이양화탄분압(PaCO2)、기도압(Paw)등삼수。결과수뇨관연경화격광쇄석술채용병박분파공수주정맥전마,치입후조연합고빈분사통기,PETCO2、PaCO2、Paw、분별유고빈분사통기전적(32.01±3.31)mmHg,(40.83±2.68)mm-Hg,(14.7±1.74)cmH2O 하강지통기후적(22.07±3.31)mmHg,(33.3±2.29)mmHg,(4.6±1.59)cmH2O；PaO2유(279.7±51.5)mmHg증지(311.78±46.4)mmHg。결론전빙정맥마취,채용후조연합고빈분사통기,능안전지응용우수뇨관연경화격광쇄석술。
Obj ective]To evaluate the safety of laryngeal mask combined with high frequency j et ventilation (HFJV)in patients undergoing flexible ureteroscopy holmium laser lithotripsy.[Methods]A total of 60 patients scheduled for flexible ureteroscopy holmium laser lithotripsy were inserted suitable laryngeal mask combined with HFJV under general anesthesia with propofol target controlled intravenous infusion.Mean arterial blood pressure (MAP),heart rate(HR),pulse blood oxygen saturation(SpO2 ),end-tidal pressure of carbon dioxide(PET CO2 ), arterial oxygen pressure(PaCO2 ),airway pressure(Paw)and other parameters before and after ventilation were compared.[Results]The PET CO2 ,PaO2 and Paw after laryngeal mask combined with HFJV in flexible ureteros-copy holmium laser lithotripsy under general anesthesia with propofol target controlled intravenous infusion were decreased from (32.01±3.31),(40.83±2.68)mmHg and (14.7±1.74)cmH2O before HFJV to (22.07±3. 31),(33.3±2.29)mmHg and (4.6±1.59)cmH2O,while PaO2 was increased from (279.7±51.5)mmHg to (311.78±46.4)mmHg.[Conclusion]Laryngeal mask combined with HFJV in total anesthesia can be used in flexible ureteroscopy holmium laser lithotripsy securely.
