探讨喉罩和气管插管全麻在腹腔镜胆囊手术中的应用
The laryngeal mask and endotracheal intubation anesthesia in the application of laparoscopic gallbladder surgery
王野 1张贝贝 1常菲菲 1何农1
作者信息
- 1. 北京大学首钢医院 麻醉科,北京 100144
- 折叠
摘要
目的 探讨喉罩与气管插管两种全身麻醉方法对于实施腹腔镜胆囊手术的患者的应用效果.方法 选取2015年3月～2016年3月使用随机表法抽取90 例美国麻醉师协会(ASA)是Ⅰ～Ⅱ级、血压指标在正常范围内的择期需行全麻腹腔镜胆囊手术的患者,将其平均分成喉罩组和气管组.检测并比较2 组患者在全麻前后的血压、心率的改变情况,以及手术后患者的咽喉疼痛程度.结果 气管组的患者在导管插进后其血压和心率指标都比插进之前显著增加( P <0.05),喉罩组的患者的血压和心率指标则都没有显著的改变.在手术后气管组的患者出现咽痛等各种并发症的概率比喉罩组的患者显著增加( P <0.05). 结论 应用喉罩全身麻醉的方法对于实施腹腔镜胆囊的切除手术具有操作简便,安全性高的特征,有助于维持患者的心血管功能的稳定.
Abstract
Objective To investigate the clinical effects of laryngeal mask airway supreme and endotracheal intubation in patients undergoing laparoscopic cholecystectomy.Methods 90 patients with ASA grade Ⅰ-Ⅱ and normal blood pressure undergoing elective LC were randomly allocated to two groups: laryngeal masks group and tracheal tube group from March 2015 to March 2016.Changes in blood pressure,heart rate and postoperative throat pain degree before and after anesthesia were compared between the two groups.Results The blood pressure and heart rate were significantly increased in the patients than that of tracheal group after catheter insertion,and the blood pressure and heart rate of the patients in laryngeal mask group were not significantly changed.Throat and other complications incidence of the patients in the tracheal tube group was increased significantly after surgery than that in the laryngeal masks group.Conclusion The application of laryngeal mask airway general anesthesia method for the implementation of laparoscopic cholecystectomy has the advantages of easy operation and high safety,and it can help to maintain the stability of cardiovascular function.It is worthy of clinical application.
关键词
喉罩/气管插管/全身麻醉/胆囊切除手术/腹腔镜Key words
laryngeal masks/intratracheal intubation/general anesthesia/cholecystectomy/laparoscopic引用本文复制引用
出版年
2017
NETL
NSTL
维普
万方数据