SLIPATM喉罩在医疗救援中应用可行性的前期临床研究

目的 通过分析SLIPATM喉罩的临床可操作性、安全性和并发症,并在通气参数方面与气管内插管进行比较,探讨在医疗救援中应用SLIPATM喉罩的可行性.方法 选择80例择期全麻手术患者,随机分为2组:喉罩组(A)和气管插管组(B),每组40例.评估SLIPATM喉罩操作难易程度、喉罩插入操作的安全性,监测两组的通气及并发症的发生情况.结果 SLIPATM喉罩插入操作成功率为98%,其中易于插入者占95.0%.A组患者气道峰压(Ppeak)在T4时明显升高(P＜0.05),在拔除喉罩时发现血迹5例,术后咽喉部轻度不适4例;呛咳、体动的发生率明显低于B组(P＜0.01).结论 SLIPATM喉罩操作简单、易于掌握、可操作性强,放置成功率高,通气效果与气管内插管无明显差异,安全可靠,可以尝试在医疗救援中应用.

Clinical investigation of feasibility for using SLIPATM laryngeal mask in disaster medical aid

Objective To study the safety and efficacy of SLIPATM laryngeal mask in disaster medical aid.Methods Eighty patients were randomized into two groups,laryngeal mask group(group A) and endotracheal intubation group(group B).The safety and efficacy of SLIPATM laryngeal mask,SpO2,PETCO2,Vt,Ppeak and complication of inserting laryngeal mask or tracheal tube were recorded.Results The successful rate was 98%,in which the easy insertion was 95.0%.Ppeakin group A was higher than that in group B at T4(P<0.05).Only 5 patients in group A complained of sore throat,and 4 masks were stained with blood.The incidence of restlessness before or after extubation was significantly lower in group A than that in group B(P<0.01).Conclusions There is no significant difference in ventilation between patients with and endotracheal intubation.SLIPATM laryngeal mask is safe and efficient in disaster medical aid.