CAJ | 학술논문

目的：比较 I-gel 喉罩与 LMA-Superme 喉罩用于全麻中耳炎手术中的气道管理效果。方法全麻下行中耳炎手术患者100例，ASAⅠ或Ⅱ级，随机均分为 I-gel 喉罩组（I 组）和 LMA-Superme 喉罩组（S 组）。记录喉罩置入成功率、置入时间、气道密封压、纤维支气管镜检查分级情况；记录喉罩置入即刻（T0）、头侧旋位即刻（T1）、手术开始即刻（T2）、手术开始后1 h（T3）、拔除喉罩即刻（T4）的心率（HR）、平均动脉压（MAP）、血氧饱和度（SpO2）和气道峰压（Ppeak）；记录手术时间、苏醒时间、拔除喉罩时间及拔除喉罩后相关并发症的发生情况。结果气道密封压 I 组（27．8±4．6）cmH2 O，高于 S 组（21．9±4．3）cmH2 O （P ＜0．05）；纤维支气管镜评级 I 组优于 S 组（P ＜0．05）。两组患者的手术时间、苏醒时间、拔除喉罩时间及各时点的 HR、MAP、SpO2和 Ppeak 差异无统计学意义（P ＞0．05）；S 组有5例（10％），I 组有1例（2％）在 T1时患者出现口咽部漏气现象，差异显著（P ＜0．05）。结论I-gel 喉罩在全麻中耳炎手术中的气道管理效果优于 LMA-Superme 喉罩。
목적：비교 I-gel 후조여 LMA-Superme 후조용우전마중이염수술중적기도관리효과。방법전마하행중이염수술환자100례，ASAⅠ혹Ⅱ급，수궤균분위 I-gel 후조조（I 조）화 LMA-Superme 후조조（S 조）。기록후조치입성공솔、치입시간、기도밀봉압、섬유지기관경검사분급정황；기록후조치입즉각（T0）、두측선위즉각（T1）、수술개시즉각（T2）、수술개시후1 h（T3）、발제후조즉각（T4）적심솔（HR）、평균동맥압（MAP）、혈양포화도（SpO2）화기도봉압（Ppeak）；기록수술시간、소성시간、발제후조시간급발제후조후상관병발증적발생정황。결과기도밀봉압 I 조（27．8±4．6）cmH2 O，고우 S 조（21．9±4．3）cmH2 O （P ＜0．05）；섬유지기관경평급 I 조우우 S 조（P ＜0．05）。량조환자적수술시간、소성시간、발제후조시간급각시점적 HR、MAP、SpO2화 Ppeak 차이무통계학의의（P ＞0．05）；S 조유5례（10％），I 조유1례（2％）재 T1시환자출현구인부루기현상，차이현저（P ＜0．05）。결론I-gel 후조재전마중이염수술중적기도관리효과우우 LMA-Superme 후조。
Objective To compare the effect of I-gel and LMA-superme laryngeal mask on mechanical ventilation in patients with otitis meida undergoing general anesthesia.Methods A hundred ASA I or II patients with otitis media,scheduled for elective general anes-thesia,were randomized into 2 groups:I-gel group(group I)and LMA-superme group(group S).The success rate of inserting laryngeal mask,the intubation time,the leak pressure and the scale of fiberoptic bronchoscopy were recorded.The HR,MAP,SpO2 ,and Ppeak were recorded immediately after intubation(T0 ),immediate cephalic rotation position(T1 ),immediate surgery beginning (T2 ),1h after surgery beginning (T3 )and immediately after extubation(T4 ).The operation time,recovery time,the extubation time and the related complication were recorded.Results The leak pressure in group I (27.8 ±4.6)cmH2 O was higher than that in group S(21.9 ±4.3) (P <0.05).The scale of fiberoptic bronchoscopy in group I was better than that in group S(P <0.05).There were no differences in the operation time,the recovery time,the extubation time and the HR,MAP,SPO2 ,and Ppeak at all time points between two groups (P>0.05).The leak after intubation in group I(2%)was less than that in group S(10%)at T1 (P <0.05).Conclusions The I-gel la-ryngeal mask is superior than LMA-Superme laryngeal mask in patients with otitis media undergoing general anesthesia.