欧普乐喉罩在微创大隐静脉手术中的应用(1)
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[摘要] 目的：观察欧普乐喉罩用于微创大隐静脉手术的安全性与可靠性。方法：择期行大隐静脉内翻透光剥脱旋切术的患者80例，ASA I~II级，年龄28~71岁，BMI指数20~26。随机分为欧普乐喉罩组(A组)和气管插管组(B组)，每组患者40例，麻醉方法相同。观察两组的置管成功率，置管时间，术中维持通气的有效性。记录入室(T0)、麻醉诱导后(T1)、插入喉罩/气管导管后即刻(T2)、插入喉罩/气管导管后5 min(T3)、插入喉罩/气管导管后10 min(T4)、插入喉罩/气管导管后15 min(T5)和拔管后即刻(T6)的血流动力学指标和SpO2，同时观察记录术中术后插管相关的并发症。结果：两组一次置入成功率差异无统计学意义，A组置管时间较B组短；B组T2与T6时SBP、DBP和HR与A组比较差异有统计学意义(P<0.05)；A组术中和术后插管相关并发症少于B组。结论：应用欧普乐喉罩通气全凭静脉麻醉实施微创大隐静脉手术，插入成功率高、插管时间短，术中通气满意，血流动力学稳定，插管相关的并发症少。
[关键词] 欧普乐喉罩 气管内插管 大隐静脉曲张
[中图分类号] R614.2[文献标识码] B[文章编号] 1673-7210(2011)02(b)-112-03
Application of Oro-Pharyngeal Airway Cap laryngeal mask for ventilation in patients received miniinvasive great saphenos vein operation
PANG Xiaolin1, HAN Liu2, ZHANG Yajun2△
(1.Department of Anesthesiology,First Hospital of Tsinghua University,Beijing 100016; 2.Department of Anesthesiology,China-Japan Friendship Hospital,Beijing 100029,China)
[Abstract] Objective:To investigate the feasibility of clinical application of Oro-Pharyngeal Airway Cap (OPLAC) for ventilation for under Total Intravenous Anesthesia (TIVA) on high ligation and stripping of great saphenos vein plus miniincision rotation resection of tributary vein. Methods: Eighty patients were randomly assigned to the following two groups: group A(n=40)received TIVA with OPLAC while group B(n=40) received endotracheal intubation(ET). Observed the success rate of insertion and effectiveness of ventilation.Recorded duration of insertion.SBP, DBP, HR and SpO2 were recorded before anesthesia induction(T0),before intubation(T1), after intubation immediately(T2), at 5 min(T3), 10 min(T4), 15 min(T5) after insertion,after extubation immediately(T6). Complications after operation were also recorded. Results: There was no statistical difference in success rate of first insertion.The duration of insertion was significantly shorter in the group B. In group B,SBP,DBP and HR were significantly higher than those in group A at T2 and T6 (P<0.05) .There were less complications in Group A. Conclusion: There is shorter duration and higher success rate of insertion with OPLAC. Hemodynamics keep stable with less complications during OPLAC laryngeal mask in total intravenous an anesthesia for high ligation and stripping of great saphenos vein plus miniincision rotation resection of tributary vein ......
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