摘要
目的探讨喉罩通气全麻在乳腺手术时的安全性及可行性。方法 182例ASA分级Ⅰ-Ⅱ级择期行乳腺手术的患者,随机分为治疗组和对照组,术中常规检查平均动脉压(MAP)、心率(HR)、血氧饱和度(SpO2)、呼气末二氧化碳浓度(PETCO2)等指标,记录不同时期各指标的变化及术后相关并发症的情况。结果治疗组患者HR、MAP各时间段的数值均优于对照组,且拔管时及随访的不良反应发生率较低,差异具有统计学意义(P<0.05)。结论喉罩通气全麻用于乳腺手术操作简便,应激反应小,循环、呼吸稳定,便于呼吸道管理,苏醒快且咽喉并发症少,安全可靠。
Objective To evaluate the safety and feasibility of Laryngeal Mask Airway （LMA） anesthesia in breast surgery. Method 182 eases of ASA classification I - II level option forward line breast surgery patients,random divided into treatment group and control group, intranperative routine inspection mean arterial pressure （MAP） and heart rate （HR）, blood oxygen saturation （SpO2）, breathe out the carbon dioxide concentration （PETCO2）, and other indicators in different periods, record the change of each index and postoperative complications related to the case. Result The time value of MAP and HR of the treatment group is better than control group, and tube drawing and follow-up of adverse reaction rate is low, the difference has statistical significance （P〈0.05）. Conclusion Laryngeal mask airway anesthesia for breast surgery operation is simple, stress response is small, circulatory and respiratory stability, facilitates airway management, rapid recovery and fewer complications throat, safe and reliable. [Key
出处
《中国医药指南》
2013年第10期29-30,共2页
Guide of China Medicine
关键词
喉罩
全凭静脉麻醉
乳腺手术
Laryngeal Mask Airway （LMA）
All by intravenous anesthesia
Breast Surgery
