摘要
目的观察盐酸达克罗宁胶浆作为润滑剂及局麻药对全麻喉罩置入成功率及不良反应的抑制作用。方法选择择期全麻下行输尿管镜碎石术患者80例,ASAⅠ~Ⅱ级,随机均分为盐酸达克罗宁胶浆组(A组)与石蜡油组(B组)。麻醉诱导后盲探插入涂抹有盐酸达克罗宁胶浆或石蜡油的喉罩,记录患者入室时(T_0)、喉罩置入前(T_1)、插入即刻(T_2)、置入后3 min(T_3)患者的收缩压(SBP)、舒张压(DBP)、心率(HR)以及喉罩置入的时间、一次性成功率、术后24 h患者咽部不适、咽痛等情况。结果两组患者在T_1、T_2、T_3时点的SBP、DBP、HR低于T0(P<0.05);A组和B组喉罩一次置入成功率分别为90%和97.5%,差异无统计学意义(P>0.05);术后24 h随访患者咽喉不适或咽痛的发生率A组和B组分别为3例和12例(7.5%vs.30.0%),A组低于B组(P<0.05)。结论盐酸达克罗宁胶浆作为润滑剂用于1代喉罩全麻输尿管镜取石术,可以有效的降低术后咽部疼痛或咽部不适的发生。
Objective To evaluate the effects of dyclonine gel on the success rate and complication of laryngeal mask airway （LMA） insertion. Methods Eighty ASA Ⅰ - Ⅱ patients undergoing ureteroscopic lithotripsy under general anesthesia received insertion of LMA coated with either dyclonine gel （group A, n = 40） or paraffin oil （ group B, n = 40 ）. Systolic blood pressure （ SBP ） , diastolic blood pressure （ DBP ） and heart rate （ HR ） were recorded before anesthesia （T0） , after induction （T1） , at LMA insertion （T2） , and 3 min after LMA insertion （T3）. Time and frequency of LMA insertion, incidence of abnormal sensation of pharynx and sore throat after surgery in 2 groups were recorded. Results Compared with those at To, the SBP, DBP and HR were lower at T1, T2 and T3 in 2 groups（P 〈 0.05）. The one-time success rate of group A and group B were 90% and 97.5% respec- tively （P 〉 0.05 ） .The incidence of abnormal sensation of pharynx and sore throat was significantly lower in group A （5% vs. 20% ） （P 〈 0.05）. Conclusion Dyelonine gel cream-coated LMA can reduce the incidence of sore throat in patients undergoing ureteroscopic lithotripsy under general anesthesia.
出处
《实用医学杂志》
CAS
北大核心
2017年第19期3284-3286,共3页
The Journal of Practical Medicine
关键词
喉罩
盐酸达克罗宁胶浆
石蜡油
咽痛
laryngeal mask airway
dyclonine gel
paraffin oil
sore throat
