[1]孙瑞坤,盛晓妮.I-gel喉罩与普通型喉罩在老年病人胃肠道手术中应用[J].齐鲁医学杂志,2017,32(03):328-330,333.[doi:10.13362/j.qlyx.201703024]
 SUN Ruikun,SHENG Xiaoni.VALUE OF I-GEL VERSUS LARYNGEAL MASK AIRWAY PROSEAL FOR GASTROINTESTINAL SURGERY IN ELDERLY PATIENTS[J].Medical Journal of Qilu,2017,32(03):328-330,333.[doi:10.13362/j.qlyx.201703024]
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I-gel喉罩与普通型喉罩在老年病人胃肠道手术中应用()
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《齐鲁医学杂志》[ISSN:1008-0341/CN:37-1280/R]

卷:
第32卷
期数:
2017年03期
页码:
328-330,333
栏目:
出版日期:
2017-08-07

文章信息/Info

Title:
VALUE OF I-GEL VERSUS LARYNGEAL MASK AIRWAY PROSEAL FOR GASTROINTESTINAL SURGERY IN ELDERLY PATIENTS
文章编号:
1008-0341(2017)03-0328-04
作者:
孙瑞坤盛晓妮
招远市人民医院麻醉科,山东 招远 265400
Author(s):
SUN Ruikun SHENG Xiaoni
Department of Anesthesiology, Zhaoyuan People’s Hospital, Zhaoyuan 265400, China
关键词:
喉面罩胃肠道外科手术老年人通气机机械
Keywords:
laryngeal masks gastrointestinal tract surgical procedures operative aged ventilatorsmechanical
分类号:
R614.2
DOI:
10.13362/j.qlyx.201703024
文献标志码:
A
摘要:
目的 比较I-gel喉罩和普通型喉罩在老年病人胃肠道手术中的应用价值。
方法 择期全身麻醉下行胃肠道手术的老年病人60例,ASA Ⅰ~Ⅲ级,随机分为I-gel喉罩组(I-gel组)和普通型喉罩组(LMA-P组)两组,每组30例。病人诱导后置相应喉罩,观察记录首次喉罩置入时间及成功率,纤维支气管镜(纤支镜)检查评分,喉罩漏气情况,喉罩通气时血氧饱和度(SpO2)、呼气末二氧化碳分压(PetCO2)、动脉血二氧化碳分压(PaCO2),拔除喉罩后前端反流物及罩体带血情况,同时观察病人咽喉疼痛情况。
结果 I-gel组喉罩成功置入时间显著短于LMA-P组(t=12.865,P<0.05);喉罩漏气及胃胀气发生率显著低于LMA-P组(χ2=7.925,P<0.05);两组病人喉罩置入成功率、纤支镜检查评分及喉罩带血、咽喉疼痛发生率比较差异均无显著性(P>0.05);两组病人喉罩通气时SpO2、PetCO2、PaCO2均在正常范围,两组比较差异无显著性(P>0.05)。
结论 I-gel喉罩和普通型喉罩均能保证老年病人胃肠道手术麻醉中机械通气的效果,且I-gel喉罩置入时间更短、气道密封性较好,更有利于麻醉中气道的管理与控制。
Abstract:
Objective  To compare the clinical values of I-gel and laryngeal mask airway ProSeal (LMA-P) for gastrointestinal surgery in elderly patients.
Methods  Sixty elderly patients (ASA Ⅰ-Ⅲ), who underwent selective gastrointestinal surgery under general anesthesia, were randomly assigned to I-gel group and LMA-P group, with 30 patients in each group. After induction of anesthesia, the I-gel or LMA-P was inserted. The insertion time and insertion success rate on the first attempt, as well as fiberoptic bronchoscope (FOB) score, were recorded. The blood oxygen saturation (SpO2), end-tidal partial pressure of carbon dioxide (PetCO2) and partial pressure of carbon dioxide (PaCO2) were periodically recorded during surgery. The incidence of airway leakage and gastric inflation during surgery, regurgitation and aspiration, blood staining on the device, and sore throat after device removal were also assessed.
Results  The I-gel group showed a significantly shorter mean insertion time (t=12.865,P<0.05) and significantly lower incidence rates of airway leakage and gastric inflation (χ2=7.925,P<0.05) compared with the LMA-P group. There were no significant differences in the insertion success rate on the first attempt, FOB score, and incidence of blood staining on the device and sore throat between the two groups (P>0.05). The SpO2, PetCO2, and PaCO2 during ventilation were all within the normal range, and did not differ between the two groups (P>0.05).
Conclusion  Both I-gel and LMA-P can be used for airway management in elderly patients undergoing gastrointestinal surgery under general anesthesia. Moreover, the I-gel has advantages over the LMA-P in terms of shorter insertion time, better airway sealing, and lower incidence of airway leakage and gastric inflation, which is more beneficial to airway management and control in anesthesia.
更新日期/Last Update: 2017-08-12