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喉罩联合L型通气管全麻在无痛支气管镜检查中的有效性

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目的:分析无痛支气管镜检查中应用喉罩联合L型通气管全麻的价值.方法:选择新余市人民医院2023年1月—2024年1月收治的68例实施无痛支气管镜检查的患者为研究对象,根据随机数字表法分为两组.对照组(n=34)接受鼻咽通气道全麻,观察组(n=34)接受喉罩联合L型通气管全麻.比较两组麻醉效果、并发症发生率、舒适度、满意度、生命体征变化.结果:两组麻醉起效时间、睁眼时间、自主呼吸恢复时间、定向力恢复时间比较,差异均无统计学意义(P>0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05);观察组舒适度、满意度均高于对照组,差异均有统计学意义(P<0.05);观察组T2、T3、T4时的经皮动脉血氧饱和度(SpO2)均高于对照组,平均动脉压(MAP)、心率(HR)均低于对照组,差异均有统计学意义(P<0.05).结论:无痛支气管镜检查中应用喉罩联合L型通气管全麻方案既可稳定患者生命体征,亦可提高患者舒适度和满意度,确保麻醉效果及安全性.
Effectiveness of Laryngeal Mask Combined with L-shaped Ventilation Tube General Anesthesia in Painless Bronchoscopy
Objective:To analyze the value of laryngeal mask combined with L-shaped ventilation tube general anesthesia in painless bronchoscopy.Method:A total of 68 patients underwent painless bronchoscopy admitted to Xinyu People's Hospital from January 2023 to January 2024 were selected as the study objects and divided into two groups according to random number table method.The control group (n=34) received nasopharyngeal airway general anesthesia,and the observation group (n=34) received laryngeal mask combined with L-shaped ventilation tube general anesthesia.Anesthesia effect,incidence of complications,comfort,satisfaction and changes of vital signs were compared between the two groups.Result:There were no significant differences in the anesthesia onset time,eye opening time,spontaneous breathing recovery time and orientation recovery time between the two groups (P>0.05).The incidence of complications of observation group was lower than that of control group,the difference was statistically significant (P<0.05).The comfort and satisfaction of observation group were higher than those of control group,the differences were statistically significant (P<0.05).At T2,T3 and T4,the percutaneous arterial oxygen saturation (SpO2) in the observation group were higher than those in the control group,and the mean arterial pressure (MAP) and heart rate (HR) were lower than those in the control group,the differences were statistically significant (P<0.05).Conclusion:The application of laryngeal mask combined with L-shaped ventilation tube general anesthesia in painless bronchoscopy can not only stabilize patients' vital signs,but also improve patients' comfort and satisfaction,and ensure anesthesia effect and safety.

Laryngeal maskL-shaped ventilation tubeGeneral anesthesiaPainless bronchoscopy

谭兰兰、李坤

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新余市人民医院麻醉科 江西 新余 338000

喉罩 L型通气管 全麻 无痛支气管镜检查

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(32)