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SLIPA喉罩全麻复合硬膜外阻滞在膝关节置换术中的应用
引用本文:胡小雪,李建松. SLIPA喉罩全麻复合硬膜外阻滞在膝关节置换术中的应用[J]. 中国临床医学, 2010, 17(1): 121-122
作者姓名:胡小雪  李建松
作者单位:上海市光华中西医结合医院麻醉科,上海,200052
摘    要:目的:探讨膝关节置换术应用SLIPA喉罩全麻复合硬膜外阻滞的效果,并与气管插管全麻对比。方法:选取140例行全膝关节置换术患者,随机分为两组,观察组(70例)应用SLIPA喉罩通气,对照组(70例)应用气管插管,观察麻醉前、置喉罩或气管插管即刻、置入喉罩或插管后5min、拔除喉罩或气管插管即刻的心率、血压,观察术后咽喉部并发症的情况。结果:观察组在置入及拔除喉罩时血压和心率较对照组稳定;咽喉部并发症发生率观察组(7.14%)明显低于对照组(21.43%)。结论:SLIPA喉罩全麻复合硬膜外阻滞在膝关节置换手术中血流动力学稳定,术后并发症少,使用简便,对喉损伤小。

关 键 词:SLIPA喉罩  静脉麻醉  膝关节置换术  血流动力学  气管插管

The Clinical Observation of SLIPA Laryngeal Mask Airway in General Anesthesia with Epidural Block on Knee Arthroplasty
HU Xiaoxue,LI Jiansong. The Clinical Observation of SLIPA Laryngeal Mask Airway in General Anesthesia with Epidural Block on Knee Arthroplasty[J]. Chinese Journal Of Clinical Medicine, 2010, 17(1): 121-122
Authors:HU Xiaoxue  LI Jiansong
Affiliation:HU Xiaoxue LI Jiansong Department of Anesthesiology,Shanghai Guanghua Hospital of Intergrating Traditional Chinese , Western Medicine,Shanghai 200052,China
Abstract:Objective:To observe the clinical effect of SLIPA laryngeal mask airway in general anesthesia with epidural block on knee arthroplasty.Methods: A total of 140 cases were randomly assigned into observation group(n=70) and control group(n=70).The SLIPA laryngeal masks were used in the observation group.The tracheal intubations were used in the control group.The changes of heart rate,blood pressure in different times,and the complications of throat in two groups were observed.Results: The hemodynamics were obv...
Keywords:SLIPA laryngeal mask  Intravenous anesthesia  Knee arthroplasty  Hemodynamics  Tracheal intubation  
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