Proseal喉罩在老年人全身麻醉手术中的应用
Application of proseal laryngeal mask airway in geriatric general anesthesia
钟茂林 1朱萧玲 2叶军明 1钟钦文 1谢海玉1
作者信息
- 1. 赣南医学院第一附属医院麻醉科,江西,赣州,341000
- 2. 第四军医大学西京医院麻醉科,陕西,西安,710033
- 折叠
摘要
目的:探讨Proseal喉罩在老年人全身麻醉手术中应用的临床效果和安全性.方法:60例无严重心肺疾病的择期手术老年患者,随机分为两组,喉罩组(LMA组),气管插管组(ET组).分别记录诱导前(T1)、插管(罩)后即刻(T2)、插管(罩)后3 min(13)、拔管(罩)前(T4)、拔管(罩)后即刻(T5)、拔管(罩)后3 min(T6)的收缩压(SBP)、舒张压(DBP)、平均动脉压(MAP)、心率(HR)和相关并发症.结果:同ET组相比,LMA组的插管后即刻、插管后3 min,SBP、DBP、MAP、HR显著低于气管插管组(P<0.05).拔管前、后即刻和拔管后3 min的MAP和HR均显著低于气管插管组(P<O.05),且LMA组相关并发症要少于气管插管组.结论:喉罩能安全有效地应用于老年人的全身麻醉手术.
Abstract
AIM: To investigate the safety and feasibility of using Proseal laryngeal mask(PLMA) in geriatric general anesthesia. METHODS: Sixty geriatric patients were randomized to LAM group and endotracheal intubation(ET) group with 30 cases each. SBP, DBP, MAP and HR were recorded before intubation (T1), after intubation immediately (T2), after intubation 3 min (T3), before extubation (T4), after extubation immediatetly (T5), after exbutation 3 min(T6), as well as complications were recorded. RESULTS: SBP, DBP, MAP and HR after insertion in LAM group were less than those in tracheal intubation group (P ＜ 0.05). And complications in LMA group are less than tracheal intubation group. CONCLUSION: The PLMA can be used safely in geriatric general anesthesia.
关键词
Proseal喉罩/气管插管/老年人/全身麻醉Key words
LMA-Proseal/intubation/geriatric/general anesthesia引用本文复制引用
出版年
2009
NETL
NSTL
维普
万方数据