中国临床保健杂志2024，Vol.27Issue(1)：80-84,5.DOI:10.3969/J.issn.1672-6790.2024.01.016
达米弱刺激通气型口垫在腹腔镜胃袖状切除术患者围术期气道管理的应用
Application of Dami weakly stimulated oropharyngeal airway in perioperative airway management of patients undergoing laparoscopic sleeve gastrectomy
摘要
Abstract
Objective To explore the clinical significance of Dami weakly stimulated oropharyngeal airway(Dami airway)on laparoscopic sleeve gastrectomy in patients.Methods Eighty patients who underwent laparoscopic gastrectomy sleeve resection at the First Affiliated Hospital of USTC(Anhui Provincial Hospital)from August 2020 to A-pril 2023 were selected and randomly divided into two groups:40 patients in Dami airway group(group D)and 40 in Oropharyngeal airway group(group C).In the group D,after induction,the Dami airway was placed in the mouth and taken out before tracheal intubation.It was placed again in the mouth during the operation.Oropharyngeal airway group(group C):after induction,Oropharyngeal airway was put into the mouth.It's taken out before intubation and put again after extubation.In PACU(postanesthesia care unit),tow kinds of airway will be fixed till the patient wants it to be re-moved.The hemodynamic indexes and blood gas analysis indexes was recorded in different time,including baseline(T0),1 minute after intubation(T1),5 minutes after extubation(T2)and 20 minutes after extubation(T3).Safety inde-xes and adverse events were observed.Result Compared with group D,at T2,HR and MAP of group C was higher(P＜0.05).Compared with group D,at T1 and T3,PaCO2 of group C was higher(P＜0.05).And at T2 and T3,PaO2 and PH of the two groups was lower(P＜0.05).Compared with group D,Vt/LBW(tidal volume per lean body weight)and the airway keeping time was lower(P＜0.05)in group C.And PACU staying time was higher in group C(P＜0.05).The incidence of agitation in group D was significantly lower than that in group C(P＜0.05).Conclusions Dami weakly stimulated oropharyngeal airway can effectively keep obese patients'airway undergoing laparoscopic sleeve gastrectomy clear perioperation,thus reducing adverse reactions.关键词
插管法,气管内/胃切除术/腹腔镜检查/气道管理/围手术期Key words
Intubation,intratracheal/Gastrectomy/Laparoscopy/Airway management/Perioperative period引用本文复制引用
陈丽丽,章蔚,夏敏,王桂芝,吴昊..达米弱刺激通气型口垫在腹腔镜胃袖状切除术患者围术期气道管理的应用[J].中国临床保健杂志,2024,27(1):80-84,5.基金项目
中央级公益性科研院所基本科研业务费资助项目(2020-JKCS-007) （2020-JKCS-007）
