【摘 要】
：
目的探讨Supreme喉罩在老年病人麻醉中使用的安全性及有效性。方法择期腹部手术全麻患者100例,年龄65～93岁,随机均分为喉罩组(S组)及气管插管组(T组)。全麻诱导后插入Supreme
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目的探讨Supreme喉罩在老年病人麻醉中使用的安全性及有效性。方法择期腹部手术全麻患者100例,年龄65～93岁,随机均分为喉罩组(S组)及气管插管组(T组)。全麻诱导后插入Supreme喉罩/气管导管。记录一次插入成功率及所需时间;记录两组患者麻醉诱导前(T1)、插入前(T2)、插入时(T3)、拔除喉罩/气管导管前(T4)及拔除喉罩/气管导管时(T5)的SBP、DBP及HR;术中SpO2、PETCO2和气道峰压(Ppeak);观察术中误吸、拔除喉罩/气管导管时呛咳及拔除喉罩/气管导管后低氧血症、咽喉疼痛情况。结果与T组比较,S组喉罩一次插入成功率较高(P<0.05)、插入时间明显缩短(P<0.01);T3、T5时SBP、DBP、HR波动不明显;拔除喉罩后低氧血症及咽喉痛发生率减少(P<0.01),且无呛咳病例。两组术中SpO2、PETCO2和Ppeak均在正常范围内,均无误吸发生。结论 Supreme喉罩操作简便易行,插入/拔除操作对血流动力学无明显影响,不引起呛咳,术后不良反应少,可安全有效地用于老年患者全麻气道管理。
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