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目的比较SLIPA喉罩和气管插管对血流动力学、气道压的影响。方法 60例ASAⅠ~Ⅱ级全麻下行择期腹腔镜妇科手术患者,随机均分为两组,麻醉诱导后分别置入SLIPA喉罩(S组)或气管插管(T组),记录诱导前(T0)、置入前(T1)、置入即刻(T2)、气腹时(T3)、拔出即刻(T4)的MAP、HR、SpO2及气道峰压(PMAX),观察拔出后并发症的发生情况。结果气管插管组,T2、T4时MAP、HR显著高于喉罩组(P<0.05)。结论 SLIPA喉罩易于维持血流动力学平稳,气道密闭好,苏醒平稳,用于腹腔镜妇科手术优于气管插管。
Objective To compare the effects of SLIPA laryngeal mask and tracheal intubation on hemodynamics and airway pressure. Methods Sixty patients undergoing ASA Ⅰ ~ Ⅱ general anesthesia undergoing elective laparoscopic gynecological surgery were randomly divided into two groups. After induction of anesthesia, SLIPA laryngeal mask (group S) or tracheal intubation (group T) T0, MAP, HR, SpO2 and peak airway pressure (PMAX) immediately before (T1), immediately (T2), pneumoperitoneum (T3) Occurrence of the disease. Results The tracheal intubation group, T2, T4 MAP, HR was significantly higher than the laryngeal mask group (P <0.05). Conclusion SLIPA laryngeal mask easy to maintain stable hemodynamics, airway closed well, wake up steady, laparoscopic gynecological surgery is better than tracheal intubation.