喉罩与气管插管气道管理的有效性比较：随机临床试验

喉罩与气管插管气道管理的有效性比较：随机临床试验

贵州医科大学     麻醉与心脏电生理课题组

翻译：安丽   编辑：张中伟  审核：曹莹

罂 粟 摘 要 

背景：在全麻患者中，喉罩通气（LMA）是维持气道的一种有价值的替代气管插管的方法。在这项研究中，我们比较了在2020年伊朗德黑兰Hazrat Fatemeh医院全麻下超过2小时的胸腹部整形和重建手术中LMA和气管插管(ETT)的气道管理的疗效。

方法：这项研究纳入临床试验的样本量为80例，随机分为两组。主要变量包括放置的难易程度、呼气末二氧化碳含量、动脉血氧饱和度以及喉和气管痉挛发生情况。此外，次要变量包括平均麻醉持续时间、恶心呕吐、喉痛和腹胀发生情况。所得数据通过SPSS软件25版本进行分析。

结果：在本研究中，76名患者为女性。两组之间的平均年龄、呼气末二氧化碳含量、动脉血氧饱和度、喉和气管痉挛、平均麻醉持续时间、恶心呕吐、喉痛和腹胀无显著差异。

结论：这项研究的结果表明，传统的喉罩可以作为手术超过2 h的全麻气道管理的方法选择。

原始文献来源：Behrooz Zaman , Samad Noorizad, Saeid Safari, Seyed Mohamad Hosein Javadi Larijani and Seyed Alireza Seyed Siamdoust.Effiffifficacy of Laryngeal Mask Airway Compared to Endotracheal Tube: A Randomized Clinical Trial.Anesth Pain Med. 2022 February; 12(1):e120478.

英文原文

Effiffifficacy of Laryngeal Mask Airway Compared to Endotracheal Tube: A

Randomized Clinical Trial

Abstract

Background: In patients under general anesthesia, the laryngeal mask airway (LMA) is a valuable alternative to endotracheal intubation to maintain the airway. In this study, we compared the effiffifficacy of LMA with an endotracheal tube (ETT) in plastic and reconstructive surgeries over 2 h on thorax and abdomen under general anesthesia in Hazrat Fatemeh Hospital in Tehran, Iran, in 2020.

Methods: This randomized clinical trial was performed on a sample size of 80, randomly assigned to two groups. The main variables included the ease of placement, recurrent carbon dioxide content, arterial oxygen saturation, and laryngeal and tracheal spasm. In addition, the sub-variables entailed the mean duration of anesthesia, nausea and vomiting, sore throat, and abdominal distension. The obtained data were analyzed by the SPSS software version 25.

Results: In the present study, 76 patients were female. Mean age, recurrent carbon dioxide, arterial oxygen saturation, laryngeal and tracheal spasm, the mean duration of anesthesia, nausea and vomiting, sore throat, and abdominal distension were not signifificantly difffferent between the two groups.

Conclusions: The results of this study showed that the classic laryngeal mask could be used as a means of airway control in general anesthesia for long-term surgeries of more than 2 h.