文章摘要
陈旭,王迪,谢春林,疏树华.盐酸达克罗宁胶浆涂抹i-gel喉罩应用于妇科手术的临床观察[J].中国临床保健杂志,2018,21(5):617-619.
盐酸达克罗宁胶浆涂抹i-gel喉罩应用于妇科手术的临床观察
Clinical observation of dyclonine paste applied on i-gel larynx mask in gynecological surgery
投稿时间:2018-08-02  
DOI:10.3969/J.issn.1672-6790.2018.05.012
中文关键词: 妇科外科手术  麻醉,局部  达克罗宁
英文关键词: Gynecologic surgical procedures  Anesthesia,local  Dyclonine 〖FL
基金项目:国家自然科学基金青年基金项目(81503080)
作者单位E-mail
陈旭 中国科学技术大学附属第一医院安徽省立医院麻醉科,合肥 230001 vanesth@163.com 
王迪 中国科学技术大学附属第一医院安徽省立医院麻醉科,合肥 230001  
谢春林 中国科学技术大学附属第一医院安徽省立医院麻醉科,合肥 230001  
疏树华 中国科学技术大学附属第一医院安徽省立医院麻醉科,合肥 230001  
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中文摘要:
      目的 探讨妇科手术中盐酸达克罗宁胶浆涂抹在i-gel喉罩的优越性。方法 选择择期妇科全身麻醉患者100例,ASA I-II级,采取随机数字表法分为石蜡油组(P组)和盐酸达克罗宁组(D组)各50例。诱导前2 min P组和D组患者分别含漱3 mL的0.9%氯化钠注射溶液和盐酸达克罗宁胶浆,麻醉诱导后盲探插入涂有石蜡油或盐酸达克罗宁胶浆i-gel喉罩,记录首次喉罩置入成功情况、置入次数、置入时间,记录麻醉诱导前(T0)、喉罩置入前 (T1) 、置入即刻 (T2)及置入后3 min (T3) 患者平均动脉压(MAP)、心率(HR),记录手术时间、麻醉时间、拔除喉罩时间(术毕至拔除喉罩时间)及苏醒时间(术毕至呼之睁眼时间),记录拔管后及术后24 h咽痛及声音嘶哑情况。结果 T1、T2、T3时P组和D组 MAP明显低于同组T0时(P<0.05)。两组MAP、HR差异无统计学意义(P>0.05)。P组和D组中i-gel喉罩首次置入成功率分别为91%和93%,两组差异无统计学意义(P>0.05)。拔出喉罩咽部疼痛P组10例(20.0%)明显高于D组2例(4.0%),术后24 h P组咽部疼痛发生率仍高于D组(P<0.05)。两组患者声音嘶哑差异无统计学意义(P>0.05)。结论 在妇科手术中盐酸达克罗宁用于i-gel喉罩安全可行,可降低咽痛发生率。
英文摘要:
      Objective To investigate the effect of i-gel laryngeal mask coated with dyclonine paste in gynecological surgery. Methods One hundred ASA Ⅰ-Ⅱ patients undergoing selective gynecologic surgery under general anesthesia were randomly divided into two groups:paraffin oil group (group P) and dyclonine paste group (group D).3ml normal saline or dyclonine paste was kept in mouth for 2 min before induction in group P and group D respectively,and i-gel laryngeal mask coated with either dyclonine paste or paraffin oil were blind inserted after induction.The success rate,number and times of laryngeal mask insertion were recorded.Mean blood pressure (MAP) and heart rate(HR)were recorded before anesthesia induction (T0),before the placement of i-gel laryngeal mask(T1),at laryngeal mask insertion (T2),and 3 min after insertion (T3).The time of operation,anesthesia,removal of the laryngeal mask (the time from the end of the operation to the removal of the larynx mask) and the recovery(the time from the end of the operation to opening eyes) were recorded.And the conditions of sore throat and hoarseness after extubation and 24 hours postoperatively were recorded. Results Compared with those at T0,the MAP and HR were lower at T1,T2 and T3 in 2 groups(P<0.05).There was no significant difference in MAP and HR in two groups(P>0.05).The one time success rate of group P and group D were 91% and 93% respectively(P>0.05).The incidence of sore throat after extubation in group P(n=10,0.0%) was significantly higher than that in group D(n=2,4.0%).24 hours after operation,the incidence of sore throat in group P was still higher than that in group D(P<0.05).There was no significant difference in the hoarseness between the two groups (P>0.05). Conclusion It is safe and feasible to use dyclonine paste for i-gel laryngeal mask in gynecological surgery,which has some advantages compared with paraffin oil.
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