喉罩通氣全麻用于乳腺癌根治術(shù)的臨床觀察

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1、喉罩通氣全麻用于乳腺癌根治術(shù)的臨床觀察［摘耍］冃的探討氣管插管全麻和喉罩通氣用于乳腺癌手術(shù)對(duì)血流動(dòng)力學(xué)的影響。方法將60例乳腺癌手術(shù)患者隨機(jī)分為兩纟fl,喉罩組(L纟全麻誘導(dǎo)示置入喉罩，插管組(M組)：全麻后喉鏡下氣管插管維持通氣，分別記錄誘導(dǎo)前T0,置喉罩或氣管插管前T1,喉罩置入或氣管插管即刻T2、Z后的3min(T3)、5min(T4)、15min(T5)、拔除氣管導(dǎo)管或喉罩時(shí)T6的平均動(dòng)脈壓(MAP)、心率(HR),記錄術(shù)后24h咽部疼痛及不適的發(fā)牛率。結(jié)果喉罩通氣紐循壞穩(wěn)定(P<0.05),術(shù)后的咽喉部不適發(fā)牛率明顯卜?降。結(jié)論喉罩通氣

2、M用于乳腺癌根治術(shù)是安全的，具有良好的血流動(dòng)力學(xué)，明顯降低由于氣管插管造成的咽喉部不適。［關(guān)鍵詞］喉罩；全麻；乳腺癌根治術(shù)［中圖分類號(hào)］R737.9［文獻(xiàn)標(biāo)識(shí)碼］B［文章編號(hào)］1673-9701(2012)06-0082-02ClinicalobservationofapplicationoflaryngcalmaskairwaygeneralanosthosiainradicalsurgeryofbreastcancerWANZhaoxingDepartmentofAnesthesiology,AnyangRegionalHospital,He

3、nan,Anyang455000,China［Abstract］ObjectiveToinvostigatotheinflucnccandtheapplicationoftrachealintubationgeneralanesthesiaandlaryngealmaskairwayinbreastcancersurgeryonhemodynamics.MethodsSixtypatientsreceivingbreastcancersurgerywererandomlydividedintotwogroups.Forthelaryngealma

4、skgroup(Lgroup),thelaryngealmaskwasplacedintothepatientsaftertheinductionofgeneralanesthesia.Fortheintubationgroup(Mgroup),thelaryngoscopictrachealintubationunderanesthesiawasappliedtomaintainventilation.Themeanarterialpressures(MAP)andtheheartrates(HR)atTObeforetheinduction,

5、atT1beforetheplacementoflaryngealmaskortrachealintubation,atT2attheplacementoflaryngealmaskortrachealintubation,atT33minutes,T45minutesandT515minutesaftertheplacemontoflaryngealmaskortrachealintubation,andatT6attheremovalofthetrachealtubeorlaryngealmaskwererecorded?Theinciden

6、ceratesofpharyngealpainanddiscomfort24hoursaftersurgerywererecorded.ResultsThelaryngealmaskairwaygrouphadstabilecirculation(P<0?05)andsignificantlyreducedincidencerateofpostoperativethroatdiscomfort.ConclusionTheapplicationoflaryngoalmaskairwayinradicalsurgeryofbreastcanceris

7、safe,hasgoodhemodynamicsandsignificantlyreducesthepharyngealdiscomfortcausedbytrachealintubation.［Keywords］Laryngealmask;Generalanesthesia;Radicalsurgeryofbreastcancer喉罩是Brain于1983年發(fā)明并提倡使用的一種介于氣管內(nèi)導(dǎo)管和而罩Z間的新型通氣工具［1］,由于其置入方便安全，不需使用喉鏡，對(duì)咽喉部機(jī)械損傷小，心血管反應(yīng)輕及并發(fā)癥少等優(yōu)點(diǎn)，患者易于接受。本研究旨在觀察喉罩通氣全麻

8、下乳腺癌根治術(shù)患者圍麻醉期血流動(dòng)力學(xué)及并發(fā)癥情況，現(xiàn)報(bào)道如下。1資料與方法1.1一般資料收集我院2009年3月~2011年9月60例AS