CAJ | 학술논문

目的：比较喉罩和气管插管用于老年患者全膝关节置换术的安全性和临床效果。方法68例患者随机分成SLIPA 喉罩（S）和气管插管（E）两组，监测并记录两组麻醉诱导前（ T0）、罩（管）置入成功即刻（ T1）、罩（管）置入后3 min （T2）、罩（管）拔除即刻（T3）和罩（管）拔除后3 min（T4）的 SBP、DBP、HR 及 SpO2的变化，以及两组的不良反应。结果 S 组置入时间明显小于 E 组时间（P ﹤0.001），术毕拔管时间和苏醒时间小于 E 组（P ﹤0.05）；与 T0相比，E 组 T1~ T4时点的SBP、DBP 明显升高，HR 明显加快（P ﹤0.05），S 组无明显差异；E 组呛咳和咽痛的发生率明显高于 S 组。结论老年患者全膝关节置换术中采用 SLIPA 喉罩全麻，患者血流动力学更平稳，术后并发症较少，安全性高。
목적：비교후조화기관삽관용우노년환자전슬관절치환술적안전성화림상효과。방법68례환자수궤분성SLIPA 후조（S）화기관삽관（E）량조，감측병기록량조마취유도전（ T0）、조（관）치입성공즉각（ T1）、조（관）치입후3 min （T2）、조（관）발제즉각（T3）화조（관）발제후3 min（T4）적 SBP、DBP、HR 급 SpO2적변화，이급량조적불량반응。결과 S 조치입시간명현소우 E 조시간（P ﹤0.001），술필발관시간화소성시간소우 E 조（P ﹤0.05）；여 T0상비，E 조 T1~ T4시점적SBP、DBP 명현승고，HR 명현가쾌（P ﹤0.05），S 조무명현차이；E 조창해화인통적발생솔명현고우 S 조。결론노년환자전슬관절치환술중채용 SLIPA 후조전마，환자혈류동역학경평은，술후병발증교소，안전성고。
Objective To compare the safety and clinical effect of general anesthesia with SLIPA laryngeal mask and endotra-cheal intubation for total knee arthroplasty in gerontal patient. Methods Sixty - eight patients were randomly assigned to SLIPA laryn-geal mask(S)group and endotracheal intubation(E)group,SBP,DBP,HR,SpO2 were recorded before induction of anesthesia (T0),cover(tube)into successful immediate(T1),3 min after(T2),the cover(tube)removed instantly(T3)and cover(tube) after extraction of 3 min(T4),and recorded complications of two groups. Results The times of insertion in S group were obviously lower than E group(P ﹤ 0. 001);times to extubation and palinesthesia were lower than E group(P ﹤ 0. 05);In group E,SBP,DBP and HR at T1 - T4 were higher than those at T0,but no significant difference in group S;Compared with group S,the incidences of bucking and sore throat of group E were much higher. Conclusion The application about general anesthesia with SLIPA laryngeal mask in total knee arthroplasty in gerontal patient make the hemodynamics steadily,less postoperative complications and highly safety.