CAJ | 학술논문

目的：观察可弯曲喉罩在甲状腺全麻手术中的应用效果。方法：选取全麻下择期行甲状腺手术患者90例，随机分为三组：可弯曲喉罩组（F组）、双管喉罩组（S组）和气管插管组（T组），每组30例。观察三组患者诱导期和苏醒期的血流动力学变化、术中麻醉机械通气参数变化；记录相关并发症及术者的满意度。结果：三组都能较好的完成通气，但S组术中漏气发生率较高，术者满意度较低，差异有统计学意义（P＜0．05）；F组、S组血流动力学更平稳，呛咳、恶心、低氧血症和术后24h咽痛发生率比T组低，差异有统计学意义（P＜0．05）。结论：可弯曲喉罩应用于全身麻醉下甲状腺手术，具有血流动力学稳定，密封性较好，并发症少，更高的术者满意度，是一种值得推荐的麻醉方式。
목적：관찰가만곡후조재갑상선전마수술중적응용효과。방법：선취전마하택기행갑상선수술환자90례，수궤분위삼조：가만곡후조조（F조）、쌍관후조조（S조）화기관삽관조（T조），매조30례。관찰삼조환자유도기화소성기적혈류동역학변화、술중마취궤계통기삼수변화；기록상관병발증급술자적만의도。결과：삼조도능교호적완성통기，단S조술중루기발생솔교고，술자만의도교저，차이유통계학의의（P＜0．05）；F조、S조혈류동역학경평은，창해、악심、저양혈증화술후24h인통발생솔비T조저，차이유통계학의의（P＜0．05）。결론：가만곡후조응용우전신마취하갑상선수술，구유혈류동역학은정，밀봉성교호，병발증소，경고적술자만의도，시일충치득추천적마취방식。
Objective :To study the effect of flexible laryngeal airway mask for general anesthesia in thyroid operation . Methods :90 patients of thyroid operation under general anesthesia were randomly divided into three groups :flexible la‐ryngeal airway mask group (group F) ,supreme laryngeal airway mask group (group S) and endotracheal intubation group (group T ) ,30 cases in each group .Observed the hemodynamic changes in the induction period and the recovery period ,and the changes of mechanical ventilation parameters during the whole operation in each groups ;airway compli‐cations and the surgeon’s satisfaction degree about the intraoperative ventilation were recorded .Results:The three groups were good to complete the ventilation ,but the incidence of leak was higher and the surgeon’s satisfaction about the intraoperative ventilation was lower in group S .And toward group T ,more stable hemodynamics ,lower incidences of cough ,nausea ,hypoxemia and pharyngalgia were occurred in group F and group S (P<0 .05) .Conclusion:Flexible laryngeal mask can be used in thyroid operation under general anesthesia ,with stable hemodynamics ,seal better ,fe‐wer complications and the higher surgeon's satisfaction .It deserved to be recommended .