双管喉罩在妊高症剖宫产全麻中的应用
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- 论文作者：翟利平 ; 邓爱华 ; 徐公元
- 年：2016
- 作者机构：佛山市南海区妇幼保健院麻醉科;
- 论文关键词：双管喉罩 ; 剖宫产 ; 妊高症 ; 全身麻醉
- 英文论文关键词：Proseal laryngeal mask airway ; Cesarean section ; Pregnancy induced hypertension syndrome ; General anesthesia
- 会议召开时间：2016-11-25
- 会议录名称：湖南中医药大学学报2016/专集：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会论文集
- 语种：中文
- 分类号：R614.2
- 学会代码：HNZY
- 会议名称：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会
- 会议地点：中国广东珠海
- 主办单位：国际数字医学会、Digital Chinese Medicine
- 学会名称：湖南中医药大学期刊杂志社
- 页数：2
- 文件大小：2029k
- 原文格式：D
- 会议级别：全国
摘要
目的探讨双管喉罩用于妊高症剖宫产全麻的可行性。方法 2014年1月-2015年12月期间收治的90例妊高症剖宫产产妇,随机分两组,对照组44例采用气管插管全麻,观察组46例则采用双管喉罩吸入,均用七氟醚吸入麻醉。记录两组产妇麻醉诱导前(T0)、插管(喉罩)时(T1)、切皮时(T2)、出胎时(T3)、拔管(喉罩)时(T4)各时点MAP、HR的变化、胎儿娩出时间,手术时间、拔管时间、苏醒时间、新生儿Apgar评分,记录术中有无反流误吸情况、术后咽喉部并发症等。结果观察组T1,T4时HR、MAP显著低于对照组(P<0.05)。观察组拔管时间及苏醒时间明显短于对照组(P<0.05)。两组胎儿娩出时间、手术时间、新生儿Apgar评分比较,差异均无统计学意义(P>0.05)。结论双管喉罩用于妊高症剖宫产全麻,对产妇刺激小,术中生命体征平稳,新生儿无呼吸抑制,有效提高麻醉安全性,且术后拔管及苏醒时间短,具有可行性。
Objective Explore the feasibility about proseal laryngeal mask airway for pregnancy induced hypertension syndrome caesarean section general anesthesia.Methods From January 2014 to December 2015, ninety pregnant women with pregnancy induced hypertension syndrome undergone cesaren section were randomly divided into two groups: control group(tracheal intubationgroup, 44 cases) and observation group( proseal laryngeal mask airway, 46 cases), both use inhalation sevoflurane anesthesia. All case's Mean arterial pressure(MAP), heart rate(HR), fetus deliverytime, operation time, extubation time, wake up time, and Apgar scores, regurgitation and aspiration during operation, Throat discomfort after operation were recorded. Results At the time insert and pullout proseal laryngeal mask airway, HR, MAP in observation group is significantly lower than control group(P<0.05), extubation time and wake up time in observation group is significantly shorter thancontrol group(P<0.05), fetus delivery time, operation time and Apgar scores have no significant difference(P>0.05).Conclusion Proseal laryngeal mask airway used in caesarean section generalanesthesia for pregnancy induced hypertension syndrome, have less stimulus, pregnancy's vital signs is stable during operation, there are no respiratory depression in newborn, improve the safety ofanesthesia, at the same time, shorten extubation time and wake up time, have feasibility.
Objective Explore the feasibility about proseal laryngeal mask airway for pregnancy induced hypertension syndrome caesarean section general anesthesia.Methods From January 2014 to December 2015, ninety pregnant women with pregnancy induced hypertension syndrome undergone cesaren section were randomly divided into two groups: control group(tracheal intubationgroup, 44 cases) and observation group( proseal laryngeal mask airway, 46 cases), both use inhalation sevoflurane anesthesia. All case's Mean arterial pressure(MAP), heart rate(HR), fetus deliverytime, operation time, extubation time, wake up time, and Apgar scores, regurgitation and aspiration during operation, Throat discomfort after operation were recorded. Results At the time insert and pullout proseal laryngeal mask airway, HR, MAP in observation group is significantly lower than control group(P<0.05), extubation time and wake up time in observation group is significantly shorter thancontrol group(P<0.05), fetus delivery time, operation time and Apgar scores have no significant difference(P>0.05).Conclusion Proseal laryngeal mask airway used in caesarean section generalanesthesia for pregnancy induced hypertension syndrome, have less stimulus, pregnancy's vital signs is stable during operation, there are no respiratory depression in newborn, improve the safety ofanesthesia, at the same time, shorten extubation time and wake up time, have feasibility.
引文
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[4]谭正玲,詹鸿,陈浩文.重度妊高症剖宫产麻醉130例分析.临床医学工程,2010,17(4):30-32.
[5]周玲,潘建辉,柴小青.双管型喉罩在全麻剖宫产术中的应用.临床麻醉学杂志,2013,29(3):244-246.
[6]罗贞,魏新川.食管引流型喉罩的临床应用进展.华西医学,2013,28(3):473-477.
[7]Murdoch H,Scrutton M,Laxton CH.Choice of anaesthetic agents for caesarean section:a UK survey of current practice[J].Int J Obstet Anesth,2013,22(1):31-35.
[8]房小斌,姚伟瑜,谢钱灵,等.七氟醚吸入麻醉用于剖宫产对新生儿Apgar评分的影响.临床麻醉学杂志,2008,24(4):307-308.
[9]房小斌,姚伟瑜,李师阳.Supreme双腔喉罩在剖宫产孕妇全身麻醉中的应用[J].中华医学杂志,2013,93(19):1479-1481.
[10]许敏,魏昕,柴小青,等.不同麻醉方法用于剖宫产术的成本分析.安徽医学,2014,35(3):297-300.
[2]杨军良,张立生.产科麻醉管理的国际流行趋势—剖宫产术:腰麻、硬膜外还是腰硬联合麻醉.国际麻醉学与复苏杂志,2013,34(4):289-292.
[3]刘先保,詹鸿.有关剖宫产手术麻醉新进展.实用医学杂志,2011,27(6):936-939.
[4]谭正玲,詹鸿,陈浩文.重度妊高症剖宫产麻醉130例分析.临床医学工程,2010,17(4):30-32.
[5]周玲,潘建辉,柴小青.双管型喉罩在全麻剖宫产术中的应用.临床麻醉学杂志,2013,29(3):244-246.
[6]罗贞,魏新川.食管引流型喉罩的临床应用进展.华西医学,2013,28(3):473-477.
[7]Murdoch H,Scrutton M,Laxton CH.Choice of anaesthetic agents for caesarean section:a UK survey of current practice[J].Int J Obstet Anesth,2013,22(1):31-35.
[8]房小斌,姚伟瑜,谢钱灵,等.七氟醚吸入麻醉用于剖宫产对新生儿Apgar评分的影响.临床麻醉学杂志,2008,24(4):307-308.
[9]房小斌,姚伟瑜,李师阳.Supreme双腔喉罩在剖宫产孕妇全身麻醉中的应用[J].中华医学杂志,2013,93(19):1479-1481.
[10]许敏,魏昕,柴小青,等.不同麻醉方法用于剖宫产术的成本分析.安徽医学,2014,35(3):297-300.