双管喉罩置入与气管插管在脑室腹腔分流手术麻醉中的应用比较

目的 比较PRO-SEAL LMA喉罩和气管插管用于脑室腹腔分流手术对患者呼吸循环和并发症的影响.方法 43例在全麻下实施脑室腹腔分流手术的患者,ASA Ⅱ～Ⅲ级,年龄23～67岁,随机被分为PRO-SEAL LMA喉罩组(LMA组)(n=22)和气管插管组(TT组)(n=21).分别记录麻醉前(T1)、插入喉罩/气...

Comparison of laryngeal mask airway and endotreacheal intubation in ventriculoperitoneal shunt surgical anesthesia

Aim To compare the effects of respiration and circulation and complications of PRO-SEAL LMA laryngeal mask and endotracheal intubation in patients with ventriculoperitoneal shunt surgery.Methods 43 patients,ASA II-Ⅲ,aged 23-67 years,who received surgery for ventriculoperitoneal shunt surgery under general anesthesia were randomly divided into PRO-SEAL LMA group（n=22）and tracheal intubation（TT）group（n=21）.MAP,HR,respiration system change and cerebral state index were recorded before induction of anesthesia（T_1）,immediately after intubation（T_2）,before extubation（T_3）,and immediately after extubation（T4）.Adverse reactions during extubation and the postsurgical complications were observed.Results MAP and HR were significantly higher in TT group than in LMA group at T_2,T_3,and T4（P0.01）.There were significant differences between LMA group and TT group in VT,PAW,and PCL at T_3（P0.01）.There were significant differences between LMA group and TT group in cerebral state index at T_3 and T_4（P0.01）.The incidence of body movement and coughing during extubation and that of postoperative gore throat and hoarse voice were higher in TT group than in LMA group（P0.01）.Conclusions Laryngeal mask airway is better than endotreacheal intubation in patients undergoing surgery for ventriculoperitoneal shunt.It is easier to maintain hemodynamic and respiration function stability and has fewer complications.