CAJ | 학술논문

目的评价全麻欧普乐喉罩(OPLA-LMA)通气对患者应激反应的影响.方法选择40例全麻腹腔镜胆囊切除术患者随机均分为全麻欧普乐喉罩组(Ⅰ组)和气管插管组(Ⅱ组).监测BP、HR、ECG、SpO_2、P_(ET)CO_2,并于诱导前(T_0)和诱导后3 min(T_1)、6 min(T_2)、10 min(T_3)抽血查血浆肾上腺素(E)和去甲肾上腺素(NE)浓度.结果 Ⅱ组T_1、T_2时的HR、SBP、DBP及血浆E、NE水平明显高于T_0时和Ⅰ组(P<0.05).结论全麻欧普乐喉罩通气用于腹腔镜胆囊切除术患者,应激反应明显轻于气管插管.
목적 평개전마구보악후조(OPLA-LMA)통기대환자응격반응적영향.방법 선택40례전마복강경담낭절제술환자수궤균분위전마구보악후조조(Ⅰ조)화기관삽관조(Ⅱ조).감측BP、HR、ECG、SpO_2、P_(ET)CO_2,병우유도전(T_0)화유도후3 min(T_1)、6 min(T_2)、10 min(T_3)추혈사혈장신상선소(E)화거갑신상선소(NE)농도.결과 Ⅱ조T_1、T_2시적HR、SBP、DBP급혈장E、NE수평명현고우T_0시화Ⅰ조(P<0.05).결론 전마구보악후조통기용우복강경담낭절제술환자,응격반응명현경우기관삽관.
Objective To investigate the effect of OPLAC-LMA ventilation on stress response during general anesthesia in the patients undergoing laparoscopy cholecystectomy (LC). Methods Forty LC patients were randomly divided into two groups with 20 cases each. Ventilation was performed with LMA(group Ⅰ) or tracheal intubation(group Ⅱ). The BP, HR, SpO_2, P_ETCO_2 and ECG were recorded. The levels of plasma norepinehprine(NE) and epinehprine (E) were detecded before(T_0),at 3(T_1),6(T_2),and 10 min(T_3) after anesthesia induction. Results The levels of E, NE, BP and HR at T_1 and T_2 in group Ⅰ were higher than those at T_0 and in group Ⅱ (P<0. 05). Conclusion Compared to conventional tracheal intuhation, the stress response is lower during ventilation with OPLAC LMA in LC patients under general anesthesia.