基础医学与临床 ›› 2013, Vol. 33 ›› Issue (5): 605-608.

• 研究论文 • 上一篇    下一篇

ProSeal、Supreme与i-gel等3种双管喉罩的临床应用比较

申乐1,虞雪融2,何凯2,陈雯3,易杰4,黄宇光2   

  1. 1. 中国医学科学院北京协和医院麻醉科
    2. 中国医学科学院 北京协和医学院 北京协和医院 麻醉科
    3. 北京协和医院麻醉科
    4. 中国医学科学院北京协和医学院北京协和医院麻醉科
  • 收稿日期:2013-01-16 修回日期:2013-03-19 出版日期:2013-05-05 发布日期:2013-05-29
  • 通讯作者: 虞雪融 E-mail:yxr313@yahoo.com.cn

Comparison the performance of laryngeal mask airway ProSeal, Supreme and i-gel in clinical anesthesia

  • Received:2013-01-16 Revised:2013-03-19 Online:2013-05-05 Published:2013-05-29

摘要: 目的 比较不同双管喉罩的临床应用情况,明确其在临床麻醉应用中的选择倾向性以及影响不同喉罩临床应用的主要因素。方法 回顾分析ProSeal、Supreme与i-gel等3种双管喉罩的临床使用数量变化情况,比较Supreme与i-gel喉罩在手术种类、患者性别与年龄等方面的差异。结果 喉罩全身麻醉患者中Supreme喉罩使用量最多。喉罩用量及喉罩全麻患者占所有全麻患者的比例均呈上升趋势。使用Supreme与i-gel喉罩的女性患者显著多于男性患者(P<0.001),i-gel喉罩主要用于乳腺外科手术(P<0.001),而Supreme喉罩主要用于妇科手术(P<0.001)。Supreme喉罩与i-gel喉罩麻醉患者的平均年龄为无显著差异,但女性患者显著较男性患者年轻(P<0.001)。结论 手术种类及部位是影响不同喉罩临床使用选择的主要因素。

关键词: 喉罩, ProSeal, Supreme, i-gel

Abstract: Objective To illustrate the selection preference and corresponding influence factors of different laryngeal mask airway (LMA) in clinical anesthesia. Methods We retrospectively analyzed the change of clinical consumption of LMA ProSeal, Supreme and i-gel, and analyzed the difference of surgical subspecialties, patients’ gender and age among three LMAs using Chi square test or t test. Results Altogether 13,494 patients who received LMA-assisted general anesthesia were enrolled, with most of them using LMA Supreme. The number of patients who received LMA-assisted general anesthesia kept increasing from 2010 to 2012. As compared with the number of LMA ProSeal used, those of LMA Supreme and i-gel increased more rapidly, and major of them were used for female patients (P<0.001). LMA i-gel was preferred in mastectomy (P<0.001), while LMA Supreme in gynecological procedures (P<0.001). No statistical difference existed for patients’ age between group LMA Supreme and i-gel, but female patients were younger than male (P<0.001). Conclusion The surgical subspecialty and surgical sites were major influence factors of the selection preference of different LMAs

Key words: laryngeal mask airway, ProSeal, Supreme, i-gel

中图分类号: