摘要
目的:比较喉罩和气管插管用于股骨上段手术对患者血流动力学和并发症的影响。方法:60例在全麻下实施股骨上段手术的患者,ASA分级Ⅱ～Ⅲ级,年龄65～91岁,分为喉罩组和气管插管组,每组30例。记录麻醉前(T0)、插入喉罩/气管导管前(T1)、插入喉罩/气管导管后即刻(T2)、拔管前即刻(T3)、拔管后即刻(T4)患者的平均动脉压(MAP)、心率(HR)及两组拔管期的不良反应和术后并发症。结果:气管插管组T2、T3、T4时MAP和HR均显著高于喉罩组(P<0.05);拔管期气管插管组发生体动、呛咳、术后咽喉痛、声音沙哑较喉罩组明显增加,差异有统计学意义(P<0.05);两组发生套囊血迹的差异无统计学意义(P>0.05)。结论:全麻喉罩通气用于股骨上段手术患者优于气管插管,易于维持血流动力学稳定且并发症少。
Objective To compare the effect of laryngeal mask airway （LMA） with that of endotreacheal intubation （TT） on hemodynamics and complications in elderly patients undergoing surgery for upper femur fracture. Methods Sixty ASA II - III patients aged 65 to 91 who received surgery for upper femur fracture under general anesthesia were randomly assigned to either LMA or TT group （30 for each group）. MAP and HR were recorded before induction of anesthesia （T0）, before intubation （T1）, immediately after intubation （T2）, before extubation （T3）, immediately after extubation （T4）. The adverse reactions during extubation and the postsurgical complications were observed. Results MAP and HR were significantly higher in group TT than in group LMA at T2, T3, and T4 （P 〈 0.05）. The incidence of body movment and coughing during extubation and that of postoperative sore throat and hoarse voice were higher in group TT than in group LMA （P 〈 0.05）. Conclusions Laryngeal mask airway is superior to endotreacheal intubation in elderly patients undergoing surgery for upper femur fracture. It is easier to maintain hemodynamic stability and has fewer complications.
出处
《实用医学杂志》
CAS
北大核心
2010年第7期1157-1159,共3页
The Journal of Practical Medicine
关键词
股骨骨折
喉罩
气管内插管
血流动力学
老年人
Femoral fractures
Laryngeal mask airway
Eendotreacheal intubation
Heamodynamics femur fracture
Elderly
