喉罩通气在甲状腺切除手术中的应用

【摘要】 目的探讨喉罩通气在甲状腺全麻手术中对血流动力学的影响。方法选取100例择期甲状腺手术的成年患者,随机分成喉罩组(Ⅰ组)和气管插管组(Ⅱ组),每组各50例。记录患者入室后安静时(T0)、插管前即刻(T1)、插管后即刻(T2)、插管后5mi(nT3)、拔管即刻(T4)、拔管后5mi(nT5)的MA(P平均动脉压)、H(R心率)和SpO2。结果Ⅰ组麻醉后各个时点的MAP和HR值较术前无明显的差异。Ⅱ组在麻醉后各个时点的MAP和HR值较术前有明显的升高,两组SpO2无明显的变化。Ⅰ组在T1、T2、T3、T4时点的MAP和HR值明显低于Ⅱ组(P<0.05)。Ⅰ组发生咽痛、声音嘶哑人数少于Ⅱ组。结论喉罩通气对血流动力学的影响较小,不良反应少,可安全应用于甲状腺切除术全身麻醉中。更多还原

【Abstract】 Objective Study of laryngeal mask airway in thyroid operation under general anesthesia on the hemodynamic effects of. Methods Selected 100 cases of elective thyroid operation in adult patients, were randomly divided into group laryngeal mask (group Ⅰ) and intubation group ( group Ⅱ), 50 cases in each group. Records of patients after enters the room quiet (T0), intubation immediately before (T1), immediately after intubation (T2), 5 min after intubation (T3), (T4), extubation immediate extubation after 5 minutes (T5) MAP ( mean arterial pressure ) and HR ( heart rate ), SpO2. Results I group of anesthesia after each time point of MAP and HR value less than the preoperative without significant difference. Group I in anesthetized after each time the MAP and HR values were significantly elevated in front, two group of SpO2 had no obvious change. Group I in the T1, T2, T3, MAP and HR at T4 value was significantly lower in group Ⅱ (P < 0.05 ). I group of sore throat, hoarseness occurred less than group Ⅱ. Conclusion Laryngeal mask ventilation on the hemodynamic effects of small, less adverse reaction, it can be safely used in general anesthesia in thyroidectomy.更多还原