Supreme喉罩和Proseal喉罩用于腹腔镜手求患者气道管理的比较体会

目的：比较Supreme和Proseal喉罩用于腹腔镜手术患者的气道管理。方法：择期全麻下腹腔镜手术患者60例。随机分为S（Supreme喉罩）组和P（Proseal喉罩）组。记录喉罩置入时间．置入次数及胄管置入情况。分别记录置入喉罩后1min．5min及置入胃管5rain时的SpO2．SBp．DBp．Hr．气道峰压。结果；两组各时点的SpO2．SB-．DBe．Hr．PETCO2．Peak之间无统计学差异。S组置入喉罩时间短于P组喉罩置入时间．其中1次置入成功率91％．2次成功率100％。两组拔喉罩后不良反应的发生率之间无统计学差异。结论：Supreme喉罩置入快速．通气效果好．拔除后不良反应少，可安全有效地用于腹腔镜手术患者的全麻气道管理。

Compare the Management of Supreme and Prostheal LMA for LC Patients

Objective： Compare the managements of Supreme and Proseal LMAfor LC （laparoscopic cholecystectomy） patients. Methodes： 60 patients under elective LC practices were randomly divided into S （Supreme） and P （Proseal） groups. Recorded the input times and duration time. Recorded the Spo2, SBP, DBp, Hr, Pperk at the time point of 1, 5 minutes after LMA insertion and 5 minutes after gastric tube insertion. Results： There were no difference of SpO2,SBP, DBP, HR,PETCO2,Peak between two groups at any time points. The duration time of S group was shorter than P group, The success rate of first practice was 91%, white the second practice was 100%. There was no difference of adverse events between two groups. Conclusion： It was easy to control the airway with Supreme LMA, with less adverse events, which could be safely used for LC patients.