SLIPA喉罩与气管插管在全麻中的应用比较

目的比较SLIPA喉罩与气管插管在全麻中的应用效果。方法择期腹部手术患者60例,ASA分级Ⅰ～Ⅱ级,无明显手术禁忌症。将患者随机分成SLIPA喉罩组（S组）和气管插管组（T组）,麻醉过程中监测HR、NBP等并分别于插管前（T0）、插入SLIPA喉罩或气管插管后3min（T1）、拔管前3min（T2）、拔管后3min（T3）、记录各时点的心率、平均动脉压值。结果气管插管组T2时MAP、HR显著高于喉罩组（P〈0.05）;术后咽痛发生率高于喉罩组。结论全麻喉罩通气用于腹部手术患者优于气管插管,易于维持血流动力学稳定,全麻后恢复平稳,咽痛并发症少。

Comparison of Streamlined Liner of Pharynx Airway with Endotracheal Intubation in Patients Undergoing General Anesthesia

Objective To compare the effects of streamlined Liner of the pharynx airway（SLIPA）and endotracheal intubation（ET）on hemodynamics and pharyngalgia in patients undergoing abdominal surgical operation.Methods Sixty patients with ASA class ⅠorⅡ who scheduled for selective abdominal surgical operation under general anesthesia were allocated randomly to SLIPA group（n=30）and ET group（n=30）.MAP and HR were recorded before intubation（T0）,at 3 min after intubation（T1）,3 min before extubation（T2）,3 min after extubation（T3）.Results HR and MAP at T1,T2 were significantly higher in ET group than those in SLIPA group（P0.05）.The incidence of pharyngalgia after surgery in the ET group was higher than that in SLIPA group.Conclusion Ventilation with SLIPA in patients undergoing abdominal surgical operation is better than ET in keeping stable hemodynamics and producing less pharyngalgia in general anesthesia.