吴财能马武华不同声门上通气装置在全麻中的应用评价
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中文论文演讲比赛１不同声门上通气装置在全麻中的应用评价
吴财能罗艳霞陈鸶魏涧琦马武华
【摘要】目的评价四种声门上通气装置在全麻手术中的应用。
方法择期全麻手术病人80例随机分为4组（n=20）：LMA组、LTS-D组、I-gel组和SLIPA组。
麻醉诱导后置入各通气装置，记录各装置成功置入所需次数和时间。
测定漏气压，记录Ppeak、SpO2、P ET CO2。
拔除装置时，记录装置外壁有无血迹；手术后1h，记录患者咽喉部疼痛、声音嘶哑、吞咽困难和腹胀的发生情况。
结果与LTS-D组比较，LMA组、I-gel组和SLIPA组置入时间、置管失败数和吞咽困难数降低，而首次置入成功率升高（P<0.05）；四组LP、SpO2 、P ET CO2和声音嘶哑数比较差异无统计学意义（P＞0.05）。
与SLIPA组比较，LMA组、LTS-D组和I-gel组腹胀数降低（P<0.05）。
结论四种SAD均能安全有效的应用于全麻手术患者的控制呼吸和气道管理。
【关键词】声门上气道装置；喉罩；双腔引流型喉通气管；I-gel；漏气压
Comparison of different supraglottic airway device in anesthesia.WU Cai-neng ，LUO Yan-xia, Chen Si ,Wei Jian-qi, Ma-Wu-hua. Department of Anesthesiology，the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine，Guangzhou 510405，China
Corresponding author：
【ABSTRACT】Objective This study was designed to compare the performance of different supraglottic airway device during anaesthesia in paralysed patients. Methods Both devices were studied in 80 elective surgical patients. And 80 elective surgical patients were divided into 4 groups(n=20 each), including groupⅠLMA; group Ⅱ LTS-D; group Ⅲ I-gel and groupⅣ SLIPA. Speed of insertion and success rates, leak pressures (LP), Ppeak , SpO2, P ET CO2 ,and signs of postoperative airway morbidity were recorded. Results Compared with group LTS-D, speed of
１作者单位：510405 广州市，广州中医药大学第一附属医院麻醉科
通信作者：马武华，Email：gzmwh@.
insertion and success rate were significantly increased, insertion failure rate and sore throat were significantly decreased in group LMA, I-gel and SLIPA .There was no significant change was found in LP, SpO2 , P ET CO2 and dysphonia rate of 4 groups. Compared with group SLIPA , abdominal distension rate was significantly decreased in group LTS-D, LMA, and I-gel.Conclusions All devices were suitable for ventilating the p atients’ lungs during elective surgery.
【Key words】Supraglottic Airway Devices; LMA; LTS-D; I-gel; Leak Pressure。
