SLIPA喉罩用于乳癌手术气道管理的效果

Efficacy of Streamlined Liner Pharynx Airway for Airway Management of Patients Undergoing Breast Carcinoma Surgery

目的:评价SLIPA喉罩应用于全身麻醉下乳癌手术气道管理的效果。方法:择期乳癌手术患者80例,ASA分级Ⅰ或Ⅱ级,年龄38-65岁,体重42-83kg,Mallampatis分级Ⅰ或Ⅱ级,随机均分为两组(n=40):SLIPA喉罩组(S组)、ProSeal喉罩组(P组)。麻醉诱导后置入喉罩,行机械通气。记录手术时间、清醒时间、喉罩置入时间、置入成功率、置入喉罩前后MAP、HR的变化以及拔除喉罩时呛咳、返流、误吸及喉痉挛、术毕咽喉疼痛情况。结果:两组手术时间、清醒时间比较差异无统计学意义(P>0.05)。置入喉罩期间两组MAP、HR组间比较差异无统计学意义(P>0.05)。S组置入喉罩时间短于P组(P<0.05),S组一次置入喉罩成功率高于P组,差异有统计学意义(P<0.05)。两组反流、误吸及喉痉挛的发生率差异无统计学意义。而S组术后喉罩带血、咽痛发生率较P组有所降低(P<0.05)。结论:SLIPA喉罩通气效果好,易于置入,且对咽喉损伤较小,可安全有效用于乳癌手术患者的气道管理。

Objective： To assess the efficacy of streamlined liner pharynx airway（SLIPA） used in patients undergoing breast carcinoma surgery.Method： Eighty patients by ASA ⅠorⅡ,aged 38-65,weighing 42-83kg,undergoing selective breast carcinoma surgery,were randomized into two groups（n=40 each）：streamlined liner pharynx airway group（group S） and ProSeal largneal mask airway group（group P）.Mallampati test was performed before operation in both groups.The patients were classified as ⅠorⅡ.Streamlined liner pharynx airway and ProSeal laryngeal mask airway were inserted in group S and group P respectively after induction anesthesia.The number of attempt,success rate,LMA placement time were recorded,Mean arterial pressure（MAP）,heart rate（HR） were recorded before and after LMA placement.Complications and the duration of surgery and emergence time were also recorded.Result：There＇s no significant differences in the duration of operation and emergence time between the two groups（P0.05）.MAP and HR were within the normal range during LMA placement（P0.05）.The first attempt success rates of LMA placement were significantly higher and the LMA placement time was significantly shorter in group S than in group P（P0.05）.The incidence and degree of sore throat in group P were significant higher than those in group S.Conclusion： The SLIPA is helpful for ventilation during operation with easy placement and less injury for managing airway and can be used effectively for breast carcinoma surgery.