摘要
目的比较喉罩和气管内插管用于乳腺癌根治术对血流动力学的影响。方法 60例ASA1～2级乳腺癌根治术患者,随机分为喉罩组（L组）和气管内插插组（Q组。）入室后开放静脉,监测生命体征,麻醉诱导以咪唑安定0.1 mg/kg、雷米芬太尼1μg/kg、维库溴铵0.15 mg/kg、丙泊酚1mg/kg,置入喉罩/气管内插管。麻醉维持以丙泊酚4～6 mg/（kg.h）、瑞芬太尼0.2μg/（kg.min）微量泵泵注,间断静注维库溴铵。观察麻醉诱导前（T1）、气管插管及置入喉罩前（T2）、置入喉罩/气管内插管即刻（T3）、手术中（T4）和苏醒拔管及拔喉罩即可（T5）的SBP、DBP、HR、SPO2。结果 ：与T1比较T2时SBP、DBP均下降,HR减慢（P〈0.05）;与T2比较,Q组T3时SBP、DBP均升高,HR增快（P〈0.05）。与T4比较,Q组T5时SBP、DBP均升高,HR增快（P〈0.05）。插管及拔管即刻的MAP、HR明显高于置管前,有显著性差异（P〈0.05）;L两组SPO2无显著性差异（P〉0.05）。结论 l喉罩能安全、有效地用于全麻下乳腺手术。
Objective To compare the laryngeal mask and tracheal intubation radical mastectomy for breast cancer influence on hemodynamics.Methods 60 patients ASA1 ~ 2 级 radical mastectomy were randomly divided into the LMA group（L group） and tracheal interpolation interpolation group（Q group.） burglary vein after the opening,monitoring vital signs,anesthesia was induced with midazolam 0.1 mg / kg,remifentanil 1μg/kg,vecuronium 0.15 mg / kg,propofol 1 mg / kg,The insertion / intubation.Anesthesia was maintained with propofol 4 ~ 6 mg /（kg o h）,remifentanil 0.2 μg /（kg o min） micro pump infusion,intermittent intravenous vecuronium.Observed before anesthesia（T1）,tracheal intubation and laryngeal mask insertion before（T2）,The insertion / tracheal intubation（T3）,surgery（T4） and awake extubation,and you can pull the LMA（T5） of the SBP,DBP,HR,SPO2.Results Comparison of T2,T1 SBP,DBP decreased,HR slowing（P 0.05）;compared with T2,Q group T3,SBP,DBP were increased,HR faster（P 0.05）.Compared with the T4,Q group T5,SBP,DBP were increased,HR faster（P 0.05）.Immediate intubation and extubation MAP,HR was significantly higher than before catheter insertion,there was significant difference（P 0.05）;L SPO2 two groups no significant difference（P 0.05）.Conclusion l laryngeal mask can be safely and effectively used for breast surgery under general anesthesia.
作者
孙家良
宋俊玲
徐光升
SUN Jia-liang,SONG Jun-ling,XU Guang-sheng（Eighth People＇s Hospital of Zibo,Zibo 255026,China）
出处
《医学信息》
2011年第16期5346-5347,共2页
Journal of Medical Information
关键词
喉罩
气管插管
乳腺癌根治术
laryngeal mask
tracheal intubation
radical mastectomy
