安徽卫生职业技术学院学报
安徽衛生職業技術學院學報
안휘위생직업기술학원학보
JOURNAL OF ANHUI HEALTH VOCATIONAL & TECHNICAL COLLEGE
2014年
1期
15-16
,共2页
双管喉罩%全麻%腹腔镜胆囊切除术%气管导管
雙管喉罩%全痳%腹腔鏡膽囊切除術%氣管導管
쌍관후조%전마%복강경담낭절제술%기관도관
Proseal laryngeal mask airway%General anesthesia%Laparoscopic cholecystectomy%Endotracheal tube
目的：探讨双管喉罩全麻在腹腔镜胆囊切除术中应用的利弊。方法：60例ASAⅠ~Ⅱ级，无禁忌症的择期腹腔镜胆囊切除术患者，随机分为双管喉罩组（30例）和气管插管组（30例）。观察两组诱导后（T0），置喉罩（导管）即刻（T1），置罩（管）后3min（T2），切皮时（T3），拔罩（管）即刻（T4）时的SBP、DBP、HR、SpO2、PETCO2，以及术后不良并发症（咽痛、恶心、呕吐、反流、误吸）。结果：喉罩组T0与T1无差异，且喉罩组T1、T4时SBP、DBP、HR、PETCO2较气管组降低，两组术后观察均未出现反流、误吸，喉罩组4例出现咽痛，气管组10例出现咽痛，差异有统计学意义(P<0.05)。结论：双管喉罩全麻应用于腹腔镜胆囊切除术，可有效降低术中心血管反应及术后并发症，是安全、可行的麻醉方式。
目的：探討雙管喉罩全痳在腹腔鏡膽囊切除術中應用的利弊。方法：60例ASAⅠ~Ⅱ級，無禁忌癥的擇期腹腔鏡膽囊切除術患者，隨機分為雙管喉罩組（30例）和氣管插管組（30例）。觀察兩組誘導後（T0），置喉罩（導管）即刻（T1），置罩（管）後3min（T2），切皮時（T3），拔罩（管）即刻（T4）時的SBP、DBP、HR、SpO2、PETCO2，以及術後不良併髮癥（嚥痛、噁心、嘔吐、反流、誤吸）。結果：喉罩組T0與T1無差異，且喉罩組T1、T4時SBP、DBP、HR、PETCO2較氣管組降低，兩組術後觀察均未齣現反流、誤吸，喉罩組4例齣現嚥痛，氣管組10例齣現嚥痛，差異有統計學意義(P<0.05)。結論：雙管喉罩全痳應用于腹腔鏡膽囊切除術，可有效降低術中心血管反應及術後併髮癥，是安全、可行的痳醉方式。
목적：탐토쌍관후조전마재복강경담낭절제술중응용적리폐。방법：60례ASAⅠ~Ⅱ급，무금기증적택기복강경담낭절제술환자，수궤분위쌍관후조조（30례）화기관삽관조（30례）。관찰량조유도후（T0），치후조（도관）즉각（T1），치조（관）후3min（T2），절피시（T3），발조（관）즉각（T4）시적SBP、DBP、HR、SpO2、PETCO2，이급술후불량병발증（인통、악심、구토、반류、오흡）。결과：후조조T0여T1무차이，차후조조T1、T4시SBP、DBP、HR、PETCO2교기관조강저，량조술후관찰균미출현반류、오흡，후조조4례출현인통，기관조10례출현인통，차이유통계학의의(P<0.05)。결론：쌍관후조전마응용우복강경담낭절제술，가유효강저술중심혈관반응급술후병발증，시안전、가행적마취방식。
Objective:To investigate the application of the proseal-LMA undergoing laparoscopic cholecystectomy during general anesthesia.Methods:Sixty ASAⅠ-Ⅱpatients,who had no contraindications for intubation and pros-eal-LMA,undergoing laparoscopic cholecystectomy under general anesthesia,were randomly assigned into the pros-eal-LMA group(30 cases) and the endotracheal tube group(30 cases). SBP,DBP,HR, SpO2, PETCO2 were recorded after induction(T0),at the time of proseal-LMA/ETT(T1),3 min after LMA/ETT(T2), at the time of cutting skin(T3) and extu-bation (T4),the complications (pharyngalgia,nausea, vomit Regurgitation, aspiration)after operation were also recorded. Results:There was no difference between the point of T0, T1 in the proseal-LMA group. SBP,DBP,HR,PETCO2 of the proseal-LMA group at the point of T1, T4 were lower than the endotracheal tube group.There was no regurgitation and aspiration in two groups.Four cases pharyngalgia in proseal-LMA group,ten cases pharyngalgia in endotracheal tube group,and the two groups had statistical differences(P<0.05). Conclusion:The proseal-LMA applying in laparoscopic cholecystectomy during general anesthesia is a safe and feasible anesthesia way,and can reduce the adverse cardio-vascular effects obviously,resulting in fewer complications.
