中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
10期
46-47
,共2页
经典喉罩%腹腔镜%双侧输卵管结扎术
經典喉罩%腹腔鏡%雙側輸卵管結扎術
경전후조%복강경%쌍측수란관결찰술
Classic laryngeal mask%Laparoscope%Bilateral tubal ligation
目的：探讨经典喉罩在腹腔镜下行双侧输卵管结扎术中的应用。方法：收治腹腔镜下行双侧输卵管结扎术的患者80例，将所有患者随机均分为两组：气管导管组(T 组)和传统喉罩组(L 组)。结果：在 T 组中，T3、T4时 SBP、DBP、HR明显高于T2时；与L组相比，T组的T3、T4时SBP、DBP明显升高，HR明显加快；两组的SPO2、PETCO2和PIP之间比较，差异无统计学意义；与T组相比，术毕L组安静拔管(罩)的例数明显增多，而出现并发症的例数明显减少。结论：喉罩全麻在腹腔镜下行双侧输卵管结扎术中的应用，既能保障充分的镇痛，良好的肌松，又对患者HR、BP、SPO2影响较轻，血液动力学平稳。有置入方便，术后并发症少等优点。
目的：探討經典喉罩在腹腔鏡下行雙側輸卵管結扎術中的應用。方法：收治腹腔鏡下行雙側輸卵管結扎術的患者80例，將所有患者隨機均分為兩組：氣管導管組(T 組)和傳統喉罩組(L 組)。結果：在 T 組中，T3、T4時 SBP、DBP、HR明顯高于T2時；與L組相比，T組的T3、T4時SBP、DBP明顯升高，HR明顯加快；兩組的SPO2、PETCO2和PIP之間比較，差異無統計學意義；與T組相比，術畢L組安靜拔管(罩)的例數明顯增多，而齣現併髮癥的例數明顯減少。結論：喉罩全痳在腹腔鏡下行雙側輸卵管結扎術中的應用，既能保障充分的鎮痛，良好的肌鬆，又對患者HR、BP、SPO2影響較輕，血液動力學平穩。有置入方便，術後併髮癥少等優點。
목적：탐토경전후조재복강경하행쌍측수란관결찰술중적응용。방법：수치복강경하행쌍측수란관결찰술적환자80례，장소유환자수궤균분위량조：기관도관조(T 조)화전통후조조(L 조)。결과：재 T 조중，T3、T4시 SBP、DBP、HR명현고우T2시；여L조상비，T조적T3、T4시SBP、DBP명현승고，HR명현가쾌；량조적SPO2、PETCO2화PIP지간비교，차이무통계학의의；여T조상비，술필L조안정발관(조)적례수명현증다，이출현병발증적례수명현감소。결론：후조전마재복강경하행쌍측수란관결찰술중적응용，기능보장충분적진통，량호적기송，우대환자HR、BP、SPO2영향교경，혈액동역학평은。유치입방편，술후병발증소등우점。
Objective:To investigate the application of classic laryngeal mask in the laparoscopic downward bilateral tubal ligation.Methods:80 patients with laparoscopic downward bilateral tubal ligation were selected.They wer randomly divided into the endotracheal tube group(T group)and the traditional laryngeal mask group(L group).Results:In T group,SBP,DBP,HR in T3,T4 were significantly higher than that of T2; in T group,SBP,DBPin T3,T4 were significantly higher than that of L group,the HR significantly increased faster too;there were no significant difference between the two groups of SPO2,PETCO2 and PIP;the number of cases of quiet extubation (cover) in L group increased significantly higher than that of T group in the end of the surgery,and the number of cases of complications was significantly lower too.Conclusion:The application of laryngeal mask anesthesia in the laparoscopic downward bilateral tubal ligation have many advantages,such as it can ensure adequate analgesia,good muscle relaxation,the effect of HR,BP,SPO2 in patients is light , hemodynamic stability,convenient implantation,fewer postoperative complications and so on.
