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肌肉松剂对与LMA保护面具相关的术后喉痛的影响:一项前性随机双盲临床研究
Siyi Xiong1,2, Mingxiao Chai2, Peiqi Xu2
1Department of Anesthesiology, Women and Children's Hospital of Chongqing Medical University, Chongqing, China.
肌肉松剂在妇科手术中没有增加喉疼痛的LMA保护者面膜. 然而,他们改进了口罩放置和口腔漏压力,提高了安全性.
科学领域:
- 麻醉学 麻醉学
- 外科手术的安全性
背景情况:
- 该LMA保护者面具用于短暂的麻醉程序.
- 肌肉松剂对其性能的影响需要进一步调查.
研究的目的:
- 在短期妇科手术期间评估LMA Protector面膜的性能.
- 评估肌肉松剂对术后喉痛,口罩放置和口腔漏压力 (OLP) 的影响.
主要方法:
- 100名接受选择性妇科手术的患者随机分为肌肉松剂和对照组.
- 在肌肉松剂组中,给了cisatracurium;在对照组中,给了正常盐水.
- 主要结局:手术后喉疼痛;次要结局:不良反应,恢复时间,OLP和安置的方便性.
主要成果:
- 两组之间手术后喉疼痛或不良反应没有显著差异.
- 肌肉松剂组显示显著更高的OLP (32厘米H2O对比28厘米H2O) 和较低的安置得分 (2对比3).
- 恢复时间 (眼睛打开,移除,离开) 在肌肉松剂组明显更长.
结论:
- 肌肉松剂不会恶化术后喉痛与LMA保护器.
- 肌肉松剂促进LMA保护器的放置,改善OLP,增强口罩的紧密性和安全性.
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