喉罩在宫腔镜手术患者气道管理中的应用#br#

doi:10.3969/j.issn.1007-3205.2020.01.019

摘要/Abstract

摘要： ［摘要］
目的探讨喉罩在宫腔镜手术患者气道管理中的应用效果。
方法选取全身麻醉下妇科宫腔镜手术患者150例，随机分为3组各50例。T组采用气管插管建立安全气道，P组采用ProSeal喉罩，S组采用Supreme喉罩。观察3组气管插管或喉罩置入的次数、成功率以及术中情况、生命体征、并发症发生情况。
结果 P组和S组1次置入成功率高于T组（P＜0.05）。S组置入时间短于T组，P组和S组拔管时间短于T组，气道密封压均高于T组（P＜0.05）。P组和S组喉罩置入成功率、置入时间、拔管时间、气道密封压差异均无统计学意义（P＞0.05）。3组麻醉时间、苏醒时间差异均无统计学意义（P＞0.05）。3组各时点平均动脉压（mean artery pressure，MAP）、心率（heart rate，HR）、血氧饱和度（pulse oxygen saturation,SpO2）水平均有波动，其时点间、组间·时点间交互作用差异均有统计学意义（P＜0.05），而3组间MAP、HR、SpO2差异均无统计学意义（P＞0.05）。P组和S组咽喉疼痛、吞咽困难发生率均低于T组（P＜0.05）。3组呛咳、喉痉挛、胃胀气、下颌疼痛发生率差异均无统计学意义（P＞0.05）。
结论全身麻醉下宫腔镜手术采用喉罩建立安全气道，相比气管插管，操作简单、易于置入，通气效果和气道密封性好，对患者术中的血流动力学无影响，拔除后并发症较少。ProSeal喉罩和Supreme喉罩均应用良好，可安全用于宫腔镜手术患者的气道管理。

关键词: 宫腔镜检查, 喉罩, 气道管理

Abstract: ［Abstract］Objective〖HTSS〗To explore the application effects of laryngeal mask in airway management of patients undergoing hysteroscopic surgery.
Methods〖HTSS〗A total of 150 patients who underwent gynecological hysteroscopic surgery under general anesthesia were selected and randomly divided into three groups, with 50 cases in each group. T group was given tracheal intubation to establish a safe airway, and P group was given ProSeal laryngeal mask, and S group was given Supreme laryngeal mask. The frequencies and success rate of tracheal intubation or laryngeal mask placement, intraoperative conditions, vital signs and complications were observed among three groups.
Results〖HTSS〗The success rate of one-time placement in P group and S group was higher than that in T group(P＜0.05). The placement time in S group was smaller than that in T group, and the extubation time in P group and S group was smaller than that in T group, and the airway sealing pressure was higher than that in T group(P＜0.05). There were no significant differences in the success rate, placement time, extubation time and airway sealing pressure of laryngeal mask placement between P group and S group(P＞0.05). There were no significant differences in anesthesia time and recovery time among three groups(P＞0.05). The mean artery pressure(MAP), heart rate(HR) and pulse oxygen saturation(SpO2) in the three groups were fluctuating at each time point, and there were statistically significant differences in the time-point effects and interactions of time-point and between-groups(P＜0.05), and there were no significant differences in the MAP, HR and SpO2 among the three groups at each time point(P＞0.05). The incidence rates of postoperative sore throat and dysphagia in P group and S group were lower than those in T group(P＜0.05). There were no significant differences in the incidence rates of bucking, laryngospasm, gaseous distention and jaw pain among the three groups(P＞0.05).
Conclusion〖HTSS〗Compared with tracheal intubation, hysteroscopic surgery under general anesthesia for laryngeal mask to establish a safe airway is easy to operate and easy to place, and it has better ventilation effects and airway sealing, and has no effects on hemodynamics during surgery and fewer complications after extubation. ProSeal laryngeal mask and Supreme laryngeal mask are well-applied for safe airway management in patients undergoing hysteroscopic surgery.

Key words: hysteroscopy, laryngeal mask, airway management

杨志华. 喉罩在宫腔镜手术患者气道管理中的应用#br#[J]. 河北医科大学学报, doi: 10.3969/j.issn.1007-3205.2020.01.019.

YANG Zhi-hua. Application of laryngeal mask in airway management of patients undergoing hysteroscopic surgery#br#[J]. Journal of Hebei Medical University, doi: 10.3969/j.issn.1007-3205.2020.01.019.

[1]	胡振伐, 苏凯, 高学, 田鸣. 自身对照观察经预充气和再充气鸣人喉罩气管插管的临床效果[J]. 河北医科大学学报, 2023, 44(8): 967-971.
[2]	夏勤俭, 黄森, 陈丽琴. 宫腔镜治疗子宫憩室疗效及其影响因素的Logistic回归分析 [J]. 河北医科大学学报, 2023, 44(3): 295-299.
[3]	宋铁鹰，杨艳超，王〓虹，张玉强，刘志奇. 喉罩联合支气管封堵器在重症肌无力患者胸腔镜手术中的应用[J]. 河北医科大学学报, 2018, 38(12): 1451-1454.
[4]	杨艳超1，宋铁鹰1*，王〓虹1，张玉强1，赵建辉1，翟芹红2. 胸科手术快速康复不同麻醉方式的选择#br#[J]. 河北医科大学学报, 2018, 38(12): 1474-1477.
[5]	刘志奇1，颜如玉2，杨艳超1，马晓静1，宋铁鹰1*. 喉罩联合支气管封堵器在胸科麻醉中的应用[J]. 河北医科大学学报, 2018, 38(11): 1330-1333.
[6]	王继云1，李〓婷2，李万刚1*，田浩印1，刘天伟1. 喉罩通气麻醉在胸腔镜下肺部手术中的应用#br#[J]. 河北医科大学学报, 2017, 37(12): 1401-1405.
[7]	杨运亮1，郁培佳2*，赵建辉1，王春平1，宋铁鹰1. 肥胖患者喉罩不同充气量法对CT测量喉罩选择法气道密闭性的影响[J]. 河北医科大学学报, 2016, 37(11): 1347-1350.
[8]	肖庆旺;秦彩娟;魏双江;张伟. 瑞芬太尼复合丙泊酚用于患者清醒状态下实施无痛宫腔镜手术的研究[J]. , 2014, 35(1): 99-99.
[9]	郭素萍;杨运亮;颜如玉;马琨;马晓静;宋铁鹰. 肥胖患者宫腔镜手术右美托嘧啶给药剂量探讨[J]. , 2013, 34(8): 968-968.
[10]	张鹏;常立华;王桂平;白广;刘金柱. 完全充气喉罩盲探反转法在全麻患者中的应用[J]. , 2013, 34(3): 341-341.
[11]	寿之炜. 宫腔镜结合孕激素治疗子宫内膜息肉[J]. , 2012, 33(8): 950-950.
[12]	李红. 阴道B超联合宫腔镜诊断绝经后子宫出血的临床效果分析[J]. , 2012, 33(6): 723-723.
[13]	阮雅文;石新荷. 宫腔镜手术治疗子宫内膜息肉及术后内膜息肉的血管内皮生长因子表达研究[J]. , 2012, 33(12): 1409-1409.
[14]	王凤霞;王玉霞;赵志霞;李玉梅;郭润丽. 术尔泰辅助宫腹腔镜治疗输卵管性不孕临床研究[J]. , 2012, 33(10): 1218-1218.
[15]	陈天勇;杨建国;孟冠雄. SLIPA喉罩在急诊心肺复苏困难插管中的应用[J]. , 2011, 32(6): 666-666.

喉罩在宫腔镜手术患者气道管理中的应用#br#

Application of laryngeal mask in airway management of patients undergoing hysteroscopic surgery#br#

HTML

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价