CAJ | 학술논문

目的：比较喉罩和气管插管在困难气道中的临床应用．方法：将40例预测为困难气道的患者随机分为喉罩组和对照组，每组20例，喉罩组采用喉罩置管全麻，对照组采用气管导管插管全麻，观察两组效果．结果：喉罩组首次置管成功率明显高于对照组（P＜0．05）；喉罩组置管操作时间低于对照组（P＜0．05）；喉罩组在操作时和苏醒时心率和血压波动明显降低（P＜0．05）；术中血流动力学、血氧饱和度及呼气末二氧化碳分压结果表明两组无差异；喉罩组术后并发症发生率明显低于对照组（P＜0．05）．结论：喉罩通气是解决困难气道患者手术麻醉的有效方法之一，值得临床推广．
목적：비교후조화기관삽관재곤난기도중적림상응용．방법：장40례예측위곤난기도적환자수궤분위후조조화대조조，매조20례，후조조채용후조치관전마，대조조채용기관도관삽관전마，관찰량조효과．결과：후조조수차치관성공솔명현고우대조조（P＜0．05）；후조조치관조작시간저우대조조（P＜0．05）；후조조재조작시화소성시심솔화혈압파동명현강저（P＜0．05）；술중혈류동역학、혈양포화도급호기말이양화탄분압결과표명량조무차이；후조조술후병발증발생솔명현저우대조조（P＜0．05）．결론：후조통기시해결곤난기도환자수술마취적유효방법지일，치득림상추엄．
AIM:To compare the clinical application of larynge-al mask and endotracheal intubation anesthesia in the processing of difficult airway.METHODS:40 cases with difficult airway forecasted were divided into observation group and control group randomly,20 cases in each group.The observation group was giv-en the laryngeal mask anesthesia,while the control group was giv-en the endotracheal intubation anesthesia. The effects of two groups were observed.RESULTS:The success rate of observa-tion group was obviously higher than control group's for the first time (P<0.05);The fluctuations of heart and blood pressure in observation group were lower than the control group's in operating and waking (P<0.05 ).There were no statistically significant differences in hemodynamics,blood oxygen saturation and end-tidal carbon dioxide partial pressure results between the two groups.Complication rate in observation group was lower than the control group (P<0.5).CONCLUSION:The laryngeal mask airway is one of the effective methods to solve difficult airway an-esthesia in patients,worth clinical promotion.