Meta-analysis of effectiveness and safety of laryngeal mask in flexible bronchoscopy diagnosis and treatment
- VernacularTitle:喉罩用于可弯曲支气管镜诊疗操作有效性及安全性的META分析
- Author:
Yishi LI
1
;
Jiawei WEI
;
Shuliang GUO
Author Information
1. 重庆医科大学附属第一医院呼吸与危重症医学科
- Keywords:
Laryngeal mask;
Bronchoscopy;
Meta-analysis
- From:
China Modern Doctor
2015;(10):96-99
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy and safety of laryngeal mask in flexible bronchoscopy diagnosis and treatment by meta-analysis. Methods Domestic and international literatures about clinical researches on flexible bron-choscopy diagnosis and treatment by laryngeal mask and other methods in Pub Med, Cochranelibrary, CBM, CNKI, Wanfang Data online knowledge service platform from January 2000 to January 2014 were collected and screened in accordance with inclusion and exclusion criteria strictly, and Rev Man 5.0 software was used for Meta-analysis. Results 11 RCTs were included with a total of 684 cases of patients, including 292 cases in laryngeal mask group and 392 cases in non-laryngeal mask group. Firstly, the operative time in laryngeal mask group was shorter than that in the non-laryn-geal mask group (P<0.05). Secondly, the increases of intraoperative cardiac rate and mean arterial pressure in laryngeal mask group were smaller than those in the non-laryngeal mask group (P<0.05).Thirdly, the incidences of intraoperative operation interruption, hypoxemia, cough and limb movements in laryngeal mask group were lower than those in the non-laryngeal mask(P<0.05). Conclusion It is effective and safe to use laryngeal mask for flexible bronchoscopy treat-ment and laryngeal mask is able to shorten the operation time, reduce the instability of intraoperative vital signs, and increase operation fluency.
