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    梁大顺, 阮骆阳, 杨作天, 伍烈志. SLIPA喉罩在乳腺癌手术中的应用[J]. 蚌埠医科大学学报, 2011, 36(7): 717-718.
    引用本文: 梁大顺, 阮骆阳, 杨作天, 伍烈志. SLIPA喉罩在乳腺癌手术中的应用[J]. 蚌埠医科大学学报, 2011, 36(7): 717-718.
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    LIANG Da-shun, RUAN Luo-yang, YANG Zuo-tian, WU Lie-zhi. The application of SLIPA laryngeal mask in breast cancer surgery[J]. Journal of Bengbu Medical University, 2011, 36(7): 717-718.
    Citation: LIANG Da-shun, RUAN Luo-yang, YANG Zuo-tian, WU Lie-zhi. The application of SLIPA laryngeal mask in breast cancer surgery[J]. Journal of Bengbu Medical University, 2011, 36(7): 717-718.
    shu

    SLIPA喉罩在乳腺癌手术中的应用

    The application of SLIPA laryngeal mask in breast cancer surgery

      摘要
    • 摘要: 目的: 比较SLIPA喉罩置入与气管插管对乳腺癌患者心血管反应的影响。方法: 选择无心血管系统疾病,ASAⅠ~Ⅱ级乳腺癌患者80例,随机分为SLIPA喉罩组和气管插管组各40例。监测并记录喉罩组入室时基础值(T0)、喉罩置入前(T1)、喉罩置入后1 min (T2)、3 min (T3)、5 min (T4)、手术开始(T5)、手术结束(T6)、喉罩拔除前(T7)、喉罩拔除后(T8)、喉罩拔除后5 min (T9)各时点的收缩压(SBP)、舒张压(DBP)、心率(HR),同时记录气管插管组各相应时点的参数。结果: 两组比较,T1、T3 2个时点的SBP和DBP、T5、T6、DBP差异亦均有统计学意义(P < 0.05~P < 0.01);T2、T7、T8、T9 4个时点的SBP、DBP、HR差异均有统计学意义(P < 0.05~P < 0.01)。结论: SLIPA喉罩置入对乳腺癌患者心血管系统影响轻微,SLIPA喉罩通气是患者可供选择的较为理想的通气方式之一。

       

      Abstract: Objective: To observe and compare the influence of cardiovascular response between streamlined liner pharynx airway (SLIPA) and trachea cannula in breast cancer patients. Methods: Eighty patients with mammary cancer of ASAⅠ-Ⅱ grade and no cardiovascular disorders were randomly divided into SLIPA group and trachea cannula group,each group induding 28 cases. Systolic blood pressure(SBP),diastolic blood pressure(DBP) and heart rate(HR) were monitored and recorded when the patients entered into operation room(T0),before laryngeal mask insertion(T1),1 minute after laryngeal mask insertion(T2),3 minute after laryngeal mask insertion(T3),5 minute after laryngeal mask insertion (T4),when start operation (T5),after operation (T6),before laryngeal mask withdrawal(T7),after laryngeal mask withdrawal immediately(T8),and 5 minute after laryngeal mask withdrawal(T9). Results: The results of SBP,DBP and HR in the SLIPA group at timepoints T2,T3,T7,T8 and T9 were significantly better than that in the trachea cannula group(P < 0.05-P < 0.01). Conclusions: SLIPA could be a ideal airway veafication method fou braast cancer patients due to minior interffevences to the cardiovascular response.

       

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