SLIPA喉罩两种置入方法的临床观察

The clinical observation of two different insert method of SLIPA laryngeal mask

目的比较两种不同手法置入SLIPA喉罩的临床效果。方法将100例择期ASAⅠ～Ⅱ全凭静脉麻醉下行妇科宫腔镜手术的患者随机分成观察组和对照组,每组50例,分别使用反手指尖上提法和标准法置入SLIPA喉罩来建立人工气道。记录喉罩的一次置入成功率、术毕拔出喉罩表面是否有血迹、术后咽痛等临床观察指标进而对两种置入方法进行比较。结果两种置入方法的一次置入成功率:观察组为98%,对照组仅为76%,差异有统计学意义(P<0.05);观察组术毕罩体2例、对照组12例有血迹,差异有统计学意义(P<0.05)。结论与标准法置入SLIPA喉罩相比,反手指尖上提法操作更加合理,优越性明显,临床值得推荐。

Objective To observe the clinical effect of two different insert methods of SLIPA laryngeal mask. Methods 100 （ASA Ⅰ --Ⅱ） patients scheduled to undergo hysteroscopy under total intravenous anesthesia were allocated randomly into observation group（using inverse finger-tip up method to insert the SLIPA laryngeal mask to build artificial airway） and control group（using standard method）. Every group has fifty patients. The one-time success rate, whether the extractive mask was stained with blood after the operation and the number of angina were recorded,and then the two insert methods were compared. Results The one-time success rate in the observation group was obviously higher （98%） than that in the control group （76%, P〈0.05）. There were 2 patients in observation group and 12 patients in control group the post operation masks were stained with blood （P〈0.05）. Conclusion The inverse finger-tip up method is more rational than the standard method in inserting the SLIPA laryngeal mask. And it should be promoted in clinical treatment.