国际麻醉学与复苏杂志   2010, Issue (1): 4-6
    
SLIPA TM喉罩与普通喉罩用于全麻气道管理的比较
徐建设 陈辉 傅卫军 唐靖1()
1.510515广州,南方医科大学南方医院麻醉科
Comparison of the streamlined pharynx airway liner with the conventional laryngeal mask airway for airway management
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摘要:

目的 比较SLIPA TM喉罩(streamlined pharynx airway liner,SLIPA TM)与普通喉罩(laryngeal mask airway,LMA)用于全麻短小手术气道管理的性能。方法 选择60例ASAⅠ或Ⅱ级择期全麻下短小手术的成年患者,随机分为2组,分别建立SLIPATM通气道(SLIPA TM组)或 LMA 通气道(LMA 组)。从通气道的操作、咽密封性、正压通气的维持以及副作用等方面对通气道的性能进行评估。结果 SLIPA TM与LMA插入操作的成功率和难易程度差异无统计学意义。SLIPA TM组最大密封压(22±5)cm H2O与LMA 组(24±6)cm H2O差异无统计学意义(P>0.05)。通气道插入后SLIPA TM组1例患者(3.3%)、LMA组6例患者(20%)需进一步调整位置方可行间歇正压通气;术中LMA组5例患者(16.7%)需重新调整方可维持间歇正压通气,SLIPA TM组均顺利完成手术全程间歇正压通气(P<0.05)。两种喉罩通气道喉损伤的发生率差异无统计学意义。结论 SLIPA TM喉罩的临床性能与LMA相似,是一种可替代LMA的通气道。SLIPA TM喉罩操作简便,对咽喉损伤较小,维持间歇正压通气较LMA更为稳定。

关键词: SLIPA TM喉罩;普通喉罩;气道管理
Abstract:

Objective To compare the performance of the streamlined pharynx airway liner(SLIPA TM)with the conventional laryngeal mask airway(LMA)for airway management in minor surgery under general anesthesia. Methods Sixty fasted adult patients with ASA status I~II were randomly designed to establish SLIPA TM airway(SLIPA TM group)or LMA airway(LMA group)for airway management during anesthesia. Article airway handling,pharynx sealing,ventilation maintenance and adverse reactions with SLIPA TM group and LMA group were assessed. Results SLIPA TM had comparable total rate of successful insertion and airway placement difficulty to LMA(P>0.05). Maximum seal pressure was(22±5)cm H2O and(24±6)cm H2O in SLIPA TM group and LMA group(P>0.05),respectively. A leak was noticed in 20% and 16.7% of patiemts in LMA group when patients'lungs were ventilated using intermittent positive pressure ventilation mode after airway mask placment and during surgery,and 3.3% and 0 in SLIPA TM group(P<0.05). The incidence of sore trauma was similar in both groups. Conclusion SLIPA TM is an acceptable and alternative method for LMA,exerting similar clinical performance with easier placement,less sore trauma and more stable IPPV during minor surgery.

Key words: SLIPA TM;LMA;Airway management