中国美容整形外科杂志
中國美容整形外科雜誌
중국미용정형외과잡지
CHINESE JOURNAL OF AESTHETIC AND PLASTIC SURGERY
2015年
8期
476-478
,共3页
喉罩%气道%并发症
喉罩%氣道%併髮癥
후조%기도%병발증
Aryngeal mask%Airway%Complication
目的:探讨普通喉罩直入与翻转两种置入技术的效果。方法选择ASA Ⅰ~Ⅱ级各类手术住院患者232例,随机分为普通喉罩直入法组( A组)与普通喉罩翻转法组( B组)。入手术室后患者仰卧,两组均静脉注射芬太尼2μg/kg、丙泊酚2.0~2.5 mg/kg诱导。 A组用直入法插入喉罩;B组用翻转法插入喉罩;记录喉罩的插入时间以及插入难度评分。行IPPV模式控制呼吸,维持气道压20 kPa以内,术中以微量泵持续泵入丙泊酚、瑞芬太尼,间断静脉注射阿曲库铵维持麻醉;手术结束前10 min停药,待患者醒后拔出喉罩;记录手术后1、24、48 h气道并发症。结果全部患者麻醉过程顺利,与直入法相比,翻转技术显著缩短了喉罩置入时间,不需口内手指操作,减少了口腔黏膜的损伤,降低了手术后咽喉部疼痛及吞咽困难的发生率;咽喉及颈部不适的发生率更低。结论普通喉罩翻转置入比直入更简单、方便、快捷,并发症少。
目的:探討普通喉罩直入與翻轉兩種置入技術的效果。方法選擇ASA Ⅰ~Ⅱ級各類手術住院患者232例,隨機分為普通喉罩直入法組( A組)與普通喉罩翻轉法組( B組)。入手術室後患者仰臥,兩組均靜脈註射芬太尼2μg/kg、丙泊酚2.0~2.5 mg/kg誘導。 A組用直入法插入喉罩;B組用翻轉法插入喉罩;記錄喉罩的插入時間以及插入難度評分。行IPPV模式控製呼吸,維持氣道壓20 kPa以內,術中以微量泵持續泵入丙泊酚、瑞芬太尼,間斷靜脈註射阿麯庫銨維持痳醉;手術結束前10 min停藥,待患者醒後拔齣喉罩;記錄手術後1、24、48 h氣道併髮癥。結果全部患者痳醉過程順利,與直入法相比,翻轉技術顯著縮短瞭喉罩置入時間,不需口內手指操作,減少瞭口腔黏膜的損傷,降低瞭手術後嚥喉部疼痛及吞嚥睏難的髮生率;嚥喉及頸部不適的髮生率更低。結論普通喉罩翻轉置入比直入更簡單、方便、快捷,併髮癥少。
목적:탐토보통후조직입여번전량충치입기술적효과。방법선택ASA Ⅰ~Ⅱ급각류수술주원환자232례,수궤분위보통후조직입법조( A조)여보통후조번전법조( B조)。입수술실후환자앙와,량조균정맥주사분태니2μg/kg、병박분2.0~2.5 mg/kg유도。 A조용직입법삽입후조;B조용번전법삽입후조;기록후조적삽입시간이급삽입난도평분。행IPPV모식공제호흡,유지기도압20 kPa이내,술중이미량빙지속빙입병박분、서분태니,간단정맥주사아곡고안유지마취;수술결속전10 min정약,대환자성후발출후조;기록수술후1、24、48 h기도병발증。결과전부환자마취과정순리,여직입법상비,번전기술현저축단료후조치입시간,불수구내수지조작,감소료구강점막적손상,강저료수술후인후부동통급탄인곤난적발생솔;인후급경부불괄적발생솔경저。결론보통후조번전치입비직입경간단、방편、쾌첩,병발증소。
Objective To study the effect of laryngeal mask airway insertion with standard and rotational techniques. Methods All 232 patients were divided randomly into 2 groups: the standard technique group ( Group A) and rotational technique group ( Group B) . All patients were infused with Fentanyl 2μg/kg and Propofol 2. 0 ~2. 5 mg/kg, then laryngeal mask airways were placed with different insertion techniques. The insertion time and the difficulty score for insertion were recorded. Intravenous administration of Propofol and Remifentanil were lasted to 10 minutes before the end of surgery. Patients were interviewed postoperatively for throat and neck complaints at 1, 24, and 48 h. Results All patients were satisfied with anesthesia. Rota-tional technique significantly reduced the time of laryngeal mask airway insertion without fingers operation into which reduced the injuries of oral mucosa, decreased the postoperative sore throat and the incidence of dyspha-gia and lower the discomfortableness of throat and neck. Conclusion Rotational technique of laryngeal mask air-way are more simple, convenient and fast with fewer complications.