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插管型喉罩在高血压脑出血术手术麻醉恢复期平顺性的观察
Observation of the ride comfort of intubation laryngeal mask airway during the recovery period of anesthesia for hypertensive intracerebral hemorrhage
【摘要】 目的分析插管型喉罩(ILMA)在预防高血压脑出血(HICH)患者术后恢复期拔管反应中应用价值。方法选取2014-09—2016-09我院收治的62例开颅血肿清除术高血压脑出血患者,采用随机数字表法分为观察组(31例)和对照组(31例),对照组采用气管内插管麻醉,观察组采用插管型喉罩麻醉,检测统计麻醉诱导前(t1)、ILMA或气管内导管拔除即刻(t2)、拔除后3min(t3)、拔除后10min(t4)2组心率(HR)、平均动脉压(MAP)水平,统计对比术毕唤醒时间、术后恢复期不良反应发生率,并采用苏醒期躁动(PEAD)评分评价2组术后恢复期苏醒状态。结果观察组t2、t3、t4时刻HR、MAP低于对照组,差异具有统计学意义(P<0.05);观察组PEAD评分、术毕唤醒时间低于对照组,差异具有统计学意义(P<0.05);术后恢复期观察组不良反应发生率(6.46%)低于对照组(25.81%),差异具有统计学意义(χ2=4.292,P<0.05)。结论将插管型喉罩应用于高血压脑出血患者,可保持患者血流动力学稳定,减少术后恢复期拔管反应,平顺性好,值得推广。
【Abstract】 Objective To analyze the clinical value of intubation laryngeal mask airway(ILMA)in the prevention of extubation in patients with hypertensive intracerebral hemorrhage(HICH)at the postoperative recovery stage.Methods Sixty-two patients with HICH from September 2014 to September 2016 in our hospital were randomly divided into observation group(31cases)and control group(31cases).The control group was treated with endotracheal intubation anesthesia,and the observation group was treated by ILMA.The levels of heart rate(HR)and mean arterial pressure(MAP)were measured before anesthesia induction(t1),ILMA or extubation,immediate(t2),3min(t3)and 10min(t4)after removal.The postoperative wake-up time and postoperative adverse reaction rate were statistically compared.And the recovery period and restlessness(PEAD)score were used to evaluate the recovery state of the two groups after recovery.Results The t2,t3,t4,HR and MAP of the observation group were lower than those of the control group,and the difference was statistically significant(P<0.05).The PEAD score and the wake-up time of the observation group were lower than those of the control group,and the difference was statistically significant(P <0.05).The incidence of adverse reactions in the observation group after operation was lower(6.46%)than that in the control group(25.81%),and the difference was statistically significant(χ2=4.292,P<0.05).Conclusion The application of ILMA in patients with HICH can maintain hemodynamic stability,reduce postoperative recovery period and extubation reaction with good ride comfort,and it is worth promoting.
- 【文献出处】 中国实用神经疾病杂志 ,Chinese Journal of Practical Nervous Diseases , 编辑部邮箱 ,2017年14期
- 【分类号】R614
- 【被引频次】2
- 【下载频次】14