文章摘要
SaCo可视喉罩和Supreme喉罩用于腹腔镜手术的比较
Comparison of SaCo visual laryngeal mask and Supreme laryngeal mask for laparoscopic surgery
  
DOI：10.12089/jca.2021.12.009
中文关键词: SaCo可视喉罩  Supreme喉罩  全身麻醉  腹腔镜
英文关键词: SaCo visual laryngeal mask  Supreme laryngeal mask  General anesthesia  Laparoscopy
基金项目:山东省中医药科技发展计划（2019-0388）；济南市科技发展计划（202019170）
作者单位E-mail
张敏 250014,济南市,山东第一医科大学第一附属医院（山东省千佛山医院）麻醉科  
高晓军 250014,济南市,山东第一医科大学第一附属医院（山东省千佛山医院）麻醉科  
高中权 250014,济南市,山东第一医科大学第一附属医院（山东省千佛山医院）麻醉科  
王月兰 250014,济南市,山东第一医科大学第一附属医院（山东省千佛山医院）麻醉科  
孙永涛 250014,济南市,山东第一医科大学第一附属医院（山东省千佛山医院）麻醉科 sunyongtao1979@hotmail.com 
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中文摘要:
      
目的 观察SaCo可视喉罩和Supreme喉罩在腹腔镜手术中的效果。
方法 选择择期行全麻下腹腔镜手术患者60例，男21例，女39例，年龄18～78岁，ASA Ⅰ—Ⅲ级。按照随机数字表法分为两组：Supreme喉罩组（S组）和SaCo喉罩组（K组），每组30例。记录喉罩置入成功即刻、置入成功后1、2 h气道密封压、置入时间、首次置入成功例数、喉罩调整>2次的发生情况、置入成功即刻气道峰压、喉罩对位准确例数、胃管置入成功例数和喉罩拔除时间。
结果 喉罩置入成功即刻、置入成功后1、2 h K组气道密封压明显高于S组（P<0.05），K组喉罩调整次数＞2次的发生率明显低于S组（P<0.05），K组喉罩对位准确率明显高于S组（P<0.05）。两组喉罩置入时间、首次置入成功率、置入成功即刻气道峰压、胃管置入成功率、喉罩拔除时间差异无统计学意义。
结论 与Supreme喉罩比较，SaCo可视喉罩气道密封性、对位准确率高，可以安全有效地应用于腹腔镜手术的气道管理。
英文摘要:
      
Objective To observe the efficacy of SaCo visual laryngeal mask airway and Supreme laryngeal mask in laparoscopic surgery.
Methods Sixty patients scheduled for elective laparoscopic surgery under general anesthesia, 21 males and 39 females, aged 18-78 years, ASA physical status Ⅰ-Ⅲ, were enrolled and divided according to random number table method into Supreme group (group S) and SaCo group (group K) , 30 patients in each group. The airway sealing pressure immediately after the laryngeal mask successfully placed and 1, 2 hours after the laryngeal mask successfully placed, insertion time, success cases at first attempt, the cases for attempts > 2 times, peak airway pressure immediately after inserted, the cases of correct position, successful cases of gastric tube insertion and extubation time were recorded.
Results Group K achieved higher airway sealing pressure than group S at immediately after the laryngeal mask successfully placed and 1, 2 hours after the laryngeal mask successfully placed (P < 0.05). The incidence of laryngeal mask attempts > 2 times in group K was significantly lower in group S (P < 0.05). The rates for correct position of laryngeal mask was significantly higher in group K than in group S (P < 0.05). There were no significant diffrernces in terms of insertion time, success rate of first insertion, peak airway pressure immediately after inserted and success rate of gastric tube insertion, extubation time between the two groups.
Conclusion SaCo has higher airway sealing pressure and correct position than Supreme does, and can be safely and effectively applied for airway management in laparoscopic surgery.
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