目的:通过比较SLIPA气道装置和喉罩通气道(LMA)在腹腔镜子宫切除术中的应用,探讨SLIPA和LMA在妇科腹腔镜手术中的临床价值。方法:选择该医院2007年3月~2009年8月期间全麻下接受腹腔镜子宫切除术的患者249例。其中SLIPA组104例,LMA组86例,气管插管(TI)组59例。记录通气道插入前后1 min及移除后5 min的血压(BP)、心率(HR)和血氧饱和度(SpO2)。观察苏醒期躁动及术后3 h和24 h不良反应(包括恶心、呕吐、误吸、反流、咽痛、声音嘶哑)的发生率。同时记录插管所需的时间和次数。结果 SLIPA组和LMA组的BP、HR和SpO2在观察时间点均无明显变化(P>0.05);TI组插管后1 min和拔管后5 min与插管前1 min相比MBP和HR出现显著升高(P<0.05)。SLIPA组与LMA组比较无统计学差异(P>0.05),而SLIPA组和LMA组与TI组相比较均有统计学差异(P<0.05)。SLIPA组患者2例(1.9%)出现苏醒期躁动,LMA组6例(7.0%)出现躁动,TI组11例(18.6%)出现苏醒期躁动。患者术后3 h和24 h不良反应的发生率呈现出SLIPA组﹤LMA组﹤TI组的情况。SLIPA和LMA组插管所需时间短于TI组,同时首次插管成功率高于TI组。结论:SLIPA与LMA均为安全可靠的呼吸道管理手段,在妇科腹腔镜手术中具有广阔的应用前景。 Objective: To compare the clinical value of SLIPA and LMA in gynecological laparoscopic surgery by comparing the application of SLIPA airway device and laryngeal mask airway (LMA) in laparoscopic hysterectomy. Methods: A total of 249 patients undergoing laparoscopic hysterectomy under general anesthesia were selected from March 2007 to August 2009 in the hospital. There were 104 cases in SLIPA group, 86 cases in LMA group and 59 cases in tracheal intubation group. Blood pressure (BP), heart rate (HR) and oxygen saturation (SpO2) were recorded at 1 min before and after ventilation and 5 min after removal. The incidence of restlessness and adverse reactions (including nausea, vomiting, aspiration, reflux, sore throat, hoarseness) at 3 h and 24 h after operation were observed. Record the time and number of intubation required. Results The BP, HR and SpO2 of SLIPA group and LMA group had no significant changes at the time points of observation (P> 0.05). Compared with 1 min before intubation and 1 min after intubation, the MBP and HR A significant increase (P <0.05). There was no significant difference between SLIPA group and LMA group (P> 0.05), but there was significant difference between SLIPA group and LMA group (P <0.05). Two patients (1.9%) in the SLIPA group developed agitation during recovery, six patients (7.0%) in the LMA group developed agitation, and 11 patients (18.6%) in the TI group developed agitation during the recovery phase. The incidence of adverse reactions at 3 h and 24 h after surgery showed the condition of SLIPA group