摘要
目的观察SLIPA喉罩与气管插管在乳腺癌改良根治术中对患者血流动力学的影响。方法将择期全麻下80例乳腺癌手术患者随机均分为SLIPA喉罩组（S组）和气管插管组（T组），记录插入喉罩／气管插管前（TI），插入喉罩／气管插管即刻（12）、3min（T3）和拔喉罩／气管插管前（T4），拔喉罩／气管插管即刻（T5）、3min（T6）的收缩压（SBP）、舒张压（DBP）、心率（HR）和脉搏血氧饱和度（SpO，），监测T2-T4时的SpO2、呼气末二氧化碳（PETCO2）、气道峰压（Ppeak）。观察有无反流误吸情况及术后咽喉部并发症。结果与T1时相比，T组他、T4、T5时SBP、DBP明显升高，HR明显增快，且相对应时点均高于S组（P〈0．05）；S组拔除喉罩后，低氧血症、咽部不适明显低于T组（P〈0．05），且无呛咳病例；两组术中SpO2、PETCO2、和Ppeak均在正常范围内，均无反流误吸发生。结论SLIPA喉罩通气用于乳腺癌改良根治手术时，患者应激反应小，术后咽喉并发症少。
Objective To observe the effects of SLIPA laryngeal mask airway and endotreacheal intubation on hemodynamics of breast cancer modified radieal mastectomy. Methods Eighty patients scheduled for selective breast cancer modified radical mastectomy under general anesthesia, were random-ized into two groups with 40 cases each： SLIPA （S）group and endotreacheal intubation（T） group. SBP, DBP, HR and SpO2 were recorded at 6 time points ： before intubution （ T1 ）, at the time of intubation （T2）, 3 min （ T3 ） after intubation, before extubation （ T4 ）, at the time of extubation （ T5 ）, 3 min （T6） after extubation. SpO2, PETCO2, peak airway pressure （Ppeak） were monitored at T2 -T4. Intra-operative aspiration of reflux and postoperative throat complications were observed. Results In group T, SBP,DBP and HR at T2, T4, T5 were higher than those at T1 and at the same time points in group S （P 〈 0.05 ） ; In group S, after pulling out laryngeal mask, the incidences of hypoxemia and throat dis-comfort were lower than those in group T（ P 〈 0.05 ） ; And no cough cases ; Intraoperative SpO2, PETCO2,and Ppeak were within the normal ranges in the two groups. There was no occurrence of reflux aspiration. Conclusions SLIPA larngeal mask airway induces less stress reaction and has fewer complications of throat after operation in patients underwent breast cancer modified radical mastectomy.
出处
《中国实用医刊》
2013年第23期68-69,共2页
Chinese Journal of Practical Medicine
关键词
喉罩
气管插管
乳腺癌改良根治术
Larngeal mask
Endotracheal intubation
Breast cancer modified radical mastectomy
