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徒手上提舌根辅助ProSeal喉罩置入在舌体肥大患者中的应用

卢军杰 凌刚 吴雪 赵本坤 赵礼 乔国宏

实用医学杂志2017,Vol.33Issue(6):932-934,3.
实用医学杂志2017,Vol.33Issue(6):932-934,3.DOI:10.3969/j.issn.1006-5725.2017.06.022

徒手上提舌根辅助ProSeal喉罩置入在舌体肥大患者中的应用

Application of elevating the root of tongue bare-handed to assist ProSeal laryngeal mask airway insertion in patients with tongue body hypertrophy

卢军杰 1凌刚 2吴雪 2赵本坤 2赵礼 1乔国宏1

作者信息

  • 1. 710003 西安市,西安交通大学医学院附属西安市中心医院麻醉科
  • 2. 725500 陕西省平利县医院麻醉科
  • 折叠

摘要

Abstract

Objective To investigate the effect of elevating the root of tongue bare-handed to assist ProSeal laryngeal mask airway insertion in patients with tongue body hypertrophy under general anesthesia. Methods Sixty ASAⅠ~Ⅲgrade patients with tongue body hypertrophy undergoing surgery in general anesthesia were randomly divided into two groups:30 cases in each group. After anesthesia induction ,laryngeal mask airway was inserted in the observation group with assistance of elevating the root of tongue bared-handed ,while inserted in the control group by standard method.Insertion time ,success rate of the first and secondary and total insertion ,pharyngolaryneal complications at 24 hours after removal were recorded ,as well as the success rate of gastric tube intubation was recorded. Results Compared with the control group ,insertion time was significantly shortened (P < 0.05). Success rate of the first and total insertion were increased (P < 0.05).Success rate of gastric tube intubation was increased(P < 0.05),and pharyngolaryneal complications were decreased (P < 0.05) in the observation group. Conclusions Elevating the root of tongue bare-handed to assist ProSeal laryngeal mask airway insertion in patients with tongue body hypertrophy is a simple and fast method with high success rate ,good apposition and less complications. Its efficacy is better than that of the standard method.

关键词

舌根/舌体肥大/喉罩

Key words

Root of tongue/Tongue body hypertrophy/Laryngeal mask airway

引用本文复制引用

卢军杰,凌刚,吴雪,赵本坤,赵礼,乔国宏..徒手上提舌根辅助ProSeal喉罩置入在舌体肥大患者中的应用[J].实用医学杂志,2017,33(6):932-934,3.

实用医学杂志

OA北大核心CSTPCD

1006-5725

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