Yao Tong, Yang Xiu-li, Zhang Fang, Li Nan, DU Huai-qing, Wang Dong-xin, Wu Xin-min
Department of Anesthesiology, First Hospital of Peking University, Beijing 100034, China.
Zhonghua Yi Xue Za Zhi. 2010 Aug 3;90(29):2048-51.
To explore the safety, efficacy and side effect of Supreme laryngeal mask airway (LMA) used in gynecological laparoscopy.
From Oct. 2009 to Apr. 2010 in First Hospital of Peking University, 125 patients undergoing general anesthesia for elective gynecological laparoscopy were reviewed, 69 of which were dealt with Supreme LMA (S) and 56 with endotracheal tube (T). After anesthesia induction, changes of HR and MAP were observed during intubation and extubation. The peak inspiratory airway pressure (P(peak)) and P(ET)CO(2) were monitored. Relevant perioperative side effects were recorded.
HR and MAP in group T were increased right after intubation and during extubation (P < 0.05), which were significantly decreased in group S (P < 0.01). P(peak) and P(ET)CO(2) were comparable in the two groups at all the time points (P > 0.05). There was no body movement or coughing at the time of intubation. Group S had less incidence of body movement, coughing and sore throat than group T during extubation (P < 0.05).
Supreme LMA can provide the same safe and effective ventilation as intubation and less stress response and side effects in gynecological laparoscopy.
探讨擎天喉罩气道（LMA）用于妇科腹腔镜手术的安全性、有效性及副作用。
回顾2009年10月至2010年4月北京大学第一医院125例行择期妇科腹腔镜手术的全身麻醉患者，其中69例采用擎天喉罩气道（S组），56例采用气管插管（T组）。麻醉诱导后，观察插管和拔管期间心率（HR）和平均动脉压（MAP）的变化。监测吸气峰压（P(peak)）和呼气末二氧化碳分压（P(ET)CO(2)）。记录围手术期相关副作用。
T组插管后及拔管期间HR和MAP升高（P < 0.05），S组显著降低（P < 0.01）。两组各时间点P(peak)和P(ET)CO(2)比较，差异无统计学意义（P > 0.05）。插管时无体动或呛咳。S组拔管期间体动、呛咳及咽痛发生率低于T组（P < 0.05）。
在妇科腹腔镜手术中，擎天喉罩气道可提供与气管插管同样安全有效的通气，且应激反应及副作用更少。
