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3min(T3)、拔管(罩)前(T4)、拔管(罩)后即刻(T5)、拔管(罩)后3min(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3min,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3min的MAP和HR均显著低于气管插管组(P<0.05),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.
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.
出处
《第四军医大学学报》
北大核心
2009年第20期2225-2227,共3页
Journal of the Fourth Military Medical University
基金
江西省卫生厅科技计划资助项目(20071101)
