摘要
目的:探讨三种不同麻醉方法在颈椎手术中的应用。方法:90例颈椎手术随机分为局麻组(A组,n=30)、气管插管型喉罩(ILMA)组(B组,n=30)和喉罩组(C组,n=30),比较心率(heart rate,HR)、平均动脉压(mean arterial pressure,MAP)和脉搏血氧饱和度(saturationpulse oxygen,SpO_2)和术后并发症。结果:A组HR分别为(93.4±8.1)次/min显著高于B组(74.5±3.5)次/min(q=13.507,P<0.05)和C组(78.5±5.5)次/min(q=14.407,P<0.05);A组MAP分别为(97.1±8.7)mmHg显著高于B组(87.6±7.3)mmHg(q=3.979,P<0.05)和C组(90.6±8.8)mmHg(q=3.390,P<0.05);A组SpO_2(94±3.5)%显著低于C组(99±1)%(q=4.140,P<0.05)。结论:气管插管型喉罩对颈椎骨折患者是一种简便、安全、有效的气管插管方法。
Objective：To investigate the three different methods of anesthesia in the cervical spine surgery. Methods：90 cases of cervical spine surgery were randomly divided into local anesthesia group（A group,n=30）,endotracheat intubation laryngeal mask（ILMA） group （B group,n=30） and laryngeal mask airway group（C group n=30）,Comparison the heart rate （HR）,mean arterial pressure（MAP）,oxygen saturation by pulse oximetry （SpO2）,time for tracheostomy, and postoperative complications. Results：The HR （93.4 ±8.1 ）times/rain in A group were significantly higher than B group（74.5±3.5） times/min（q=1 3.507,P〈0.05）and C group（78.5±5.5）times/min （q=14.407,P〈0.05）;The MAP（97.1±8.7）mmHg in A group were significantly higher than B group（87.6±73） mmHg （q=3.979,P〈0.05）and C group（90.6±8.8）mmHg（q=3.390,P〈0.05）;The SpO2 （94.5±3.5）% in A group were significantly lower than the C group（99±1）% （q=4.140,P〈0.05）. Conclusions：The method of ILMA were is a simple, safe and effective in patients with cervical spine fracture.
出处
《中国医药导刊》
2009年第7期1128-1129,共2页
Chinese Journal of Medicinal Guide
关键词
颈椎手术
麻醉
应用
Cervical spine surgery
Anesthesia
Application
