【摘要】 目的观察面罩复合口咽通气道与一次性双管喉罩在乳腺癌根治术中的气道管理效果。方法择期拟行全身麻醉乳腺癌根治术患者40例,ASA分级Ⅰ或Ⅱ级,年龄35~64岁,体重46~76 kg,体重指数<30 kg/m2,Mallampati分级Ⅰ~Ⅱ级。按随机数字表法随机分成两组,分别为面罩复合口咽通气道组(F组)和一次性双管喉罩组(S组),每组各20例。麻醉诱导后,记录两组通气道首次置入成功率、置入时间、密封压及术中气道压,记录术中面部和口咽部漏气、低氧血症和不良反应发生情况。结果两组通气道置入成功率均为100%;与S组比较,F组通气道首次置入成功率评分升高,置入时间缩短,血迹残留和咽痛发生率降低(P<0.05);S组有2例患者发生一过性气道压力增高和口咽部漏气情况,经处理后恢复,F组则无一例发生;两组均无低氧血症发生。结论口咽通气道较一次性双管喉罩易于置入,且首次置入成功率高,不良反应少,可安全有效地用于乳腺癌根治术患者的气道管理。更多还原

【Abstract】 Objective To observe the airway management effectiveness of facemask-oral airway (FMOA) and supreme laryngeal mask airway (SLMA) in radical mastectomy. Methods 40 cases scheduled for general anesthesia radical mastectomy were chose.The basic conditions of the patients were:ASA were ⅠorⅡ, age ranged from 35 to 64,weight ranged from 46 to 76 kg, BMI<30 kg/m2and Mallampati grade was between levelⅠandⅡ.The patients were randomly assigned to two groups according to random number table,the facemask-oral airway group (group F) and supreme la- ryngeal mask airway group (group S),with 20 cases in each.After induction of anesthesia,airway placement success rate, implantation time,sealing pressure,intraoperative airway pressure,intraoperative facial and oropharyngeal leak,hypox- emia and adverse events of the two groups were recorded. Results The airway placement success rates were 100% in both groups;compared with group S,in group F airway first implantation success rate significantly increased,implanta- tion time significantly shortened and incidence of blood residues sore throat significantly reduced (P<0.05);in the group S,2 patients experienced a transient increase in airway pressure and oropharyngeal leak and recovered after treatment, while there was no such incidence in the group F;neither group had hypoxemia. Conclusion Compared with SLMA, FMOA is easier to implant,has higher success rate of first implant and has fewer adverse reactions,thus it can be safely and effectively used in airway management in patients undergo radical mastectomy.更多还原