标题:
对比不同气管插管方法对全麻妇科手术患者应激反应的影响Effect of the Different Tracheal Intubation Methods on Stress Reaction in Patients Undergoing Gynecologic Operation with General Anesthesia
作者:
陈铭, 叶旻, 王春林, 何虹, 陈迅
关键字:
传统喉镜, 插管型喉罩, 插管光棒, 全麻, 应激反应Traditional Laryngoscope, Intubation Laryngeal Mask, The Flexible Light Wand Guided Tracheal Intubation, General Anesthesia, Stress Reaction
期刊名称:
《Advances in Clinical Medicine》, Vol.4 No.4, 2014-12-23
摘要:
目的：观比较传察统喉镜(MAC)，插管型喉罩(ILMA)，光棒引导气管插管对全麻妇科手术患者应激反应的影响。方法：选择择期全麻下行妇科手术患者90例，年龄35~60岁，ASA分级I~II级，Mallampati气道分级I~II级。随机平均分为传统喉镜组 (n = 30)，喉罩组 (n = 30)，光棒组 (n = 30)。观察比较三组于诱导前(T0)，插管后1 min (T1)，3 min (T2)，5 min (T3)四个时相平均动脉压(MAP)，心率(HR)，血糖(GLU)，皮质醇(COR)的变化，并进行统计学分析。结果：T0时相三组各项观察指标比较均无差异(P > 0.1)；气管插管后T1时相A组，B组MAP，HR均较T0时有明显增高(P 0.05)，无统计学差异；A组MAP，HR在T2时仍未降至T0水平(P 0.05)；T1~T3时相，A组，B组血糖及皮质醇水平均较T0时明显增高(P 0.05)。T3时项组间比较A,B两组该指标均高于C组，差异有统计学意义(P
Objective: Comparing the traditional laryngoscope (MAC), intubation laryngeal mask (ILMA), the flexible light wand guided tracheal intubation effects on stress reaction in patients undergoing Gynecological operation with General anesthesia. Methods: 90 patients undergoing Gynecologic operation with General anesthesia were randomly divided into three groups: the traditional la-ryngoscope group (n = 30), intubation laryngeal mask group (n = 30), the flexible light wand guided group (n = 30); aging between 35 - 60, ASA I-II, Mallampati airway classification I-II. HR, MAP, GLU, COR were recorded before induction (T0), 1 min (T1), 3 min (T2), 5 min (T3) after intubation. Result: At T1, HR and MAP were significantly higher than those at T0 in group A and B (P 0.05). T1 to T3, the GLU and COR were significantly increased (P 0.05). At T3, all the observation indexes of group A and B were higher than group C’s (P