CAJ | 학술논문

目的：研究喉罩麻醉在老年人疝修补术中的临床应用。方法选取160例择期接受斜(直)疝修补术的老年患者(≥60岁)为研究对象，随机分为观察组和对照组各80例，观察组患者采用喉罩麻醉，而对照组患者则接受气管插管麻醉。比较观察组和对照组的实际用药量(异丙酚和维库溴铵)以及血流动力学变化(SBP、DBP)等指标。结果观察组置罩时间、苏醒时间、用药量(异丙酚和维库溴铵)以及术后咽痛例数均少于对照组(P 均<0.01)；但两组拔罩(管)后HR、SBP 和 DBP 比较差异无统计学意义(P 均>0.05)。结论在老年人疝修补术的临床治疗中，建议采用喉罩麻醉。
목적：연구후조마취재노년인산수보술중적림상응용。방법선취160례택기접수사(직)산수보술적노년환자(≥60세)위연구대상，수궤분위관찰조화대조조각80례，관찰조환자채용후조마취，이대조조환자칙접수기관삽관마취。비교관찰조화대조조적실제용약량(이병분화유고추안)이급혈류동역학변화(SBP、DBP)등지표。결과관찰조치조시간、소성시간、용약량(이병분화유고추안)이급술후인통례수균소우대조조(P 균<0.01)；단량조발조(관)후HR、SBP 화 DBP 비교차이무통계학의의(P 균>0.05)。결론재노년인산수보술적림상치료중，건의채용후조마취。
Objective To retrospectively study the clinical value of laryngeal mask anesthesia in the elder-ly patients undergoing hernia repair. Methods A total of 1 60 elderly patients (≥ 60 years)underwent elec-tive oblique (straight)hernia repair surgery were enrolled in this study.All the patients were randomly alloca-ted to an observation group (n =80)and a control group (n =80).Patients of the observation group were treated with laryngeal mask anesthesia,while the control group received tracheal intubation anesthesia.The re-lated indicators,such as actual drug dosage (propofol and vecuronium bromide)and hemodynamic changes, etc.were compared between the observation group and the control group. Results Compared with tracheal intubation anesthesia,the laryngeal mask anesthesia had shorter mask placement time,shorter anesthesia awa-king time,less actual drug dosage (propofol and vecuronium bromide)and less post-operative pharyngalgia incidence,there were statistically significant differences (all P <0.01);but after discharge of laryngeal mask (tracheal intubation)group - paired comparison of HR,SBP and DBP exhibited no statistically significant differences (all P >0.05). Conclusion We recommend using the laryngeal mask anesthesia in clinical hernia repair for elderly patient.