中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
15期
142-144,145
,共4页
欧普乐喉罩%腹腔镜%肝癌%射频消融%全麻
歐普樂喉罩%腹腔鏡%肝癌%射頻消融%全痳
구보악후조%복강경%간암%사빈소융%전마
OPLAC-laryngeal mask airway%Laparoscope%Hepatic carcinoma%Radiofrequency ablation%General anesthesia
目的：评价欧普乐喉罩通气在腹腔镜肝癌射频消融术全麻中应用的安全性和可行性。方法：选择40例择期全麻腹腔镜肝癌射频消融术患者，ASAⅡ~Ⅲ级，按随机数字表法分为欧普乐喉罩组（A组）和气管内插管组（B组）各20例。观察记录两组患者在麻醉诱导前（T0）、插入喉罩或气管导管前（T1）、插入喉罩或气管导管后即刻（T2）、插入喉罩或气管导管后5 min（T3）、拔除喉罩或气管导管后即刻（T4），5个时间点的收缩压（SBP）、舒张压（DBP）、心率（HR）与脉搏血氧饱和度（SpO2）。并记录麻醉相关并发症。结果：B组T1与T4时点的SBP、DBP和HR水平均明显高于A组，差异均有统计学意义（P<0.05）；A组呛咳、苏醒期躁动、术后咽痛、痰多等并发症明显少于B组，差异均有统计学意义（P<0.05）。结论：欧普乐喉罩通气应用于腹腔镜肝癌射频消融术，较气管内插管全麻围术期循环功能更加稳定，麻醉相关并发症更少。
目的：評價歐普樂喉罩通氣在腹腔鏡肝癌射頻消融術全痳中應用的安全性和可行性。方法：選擇40例擇期全痳腹腔鏡肝癌射頻消融術患者，ASAⅡ~Ⅲ級，按隨機數字錶法分為歐普樂喉罩組（A組）和氣管內插管組（B組）各20例。觀察記錄兩組患者在痳醉誘導前（T0）、插入喉罩或氣管導管前（T1）、插入喉罩或氣管導管後即刻（T2）、插入喉罩或氣管導管後5 min（T3）、拔除喉罩或氣管導管後即刻（T4），5箇時間點的收縮壓（SBP）、舒張壓（DBP）、心率（HR）與脈搏血氧飽和度（SpO2）。併記錄痳醉相關併髮癥。結果：B組T1與T4時點的SBP、DBP和HR水平均明顯高于A組，差異均有統計學意義（P<0.05）；A組嗆咳、囌醒期躁動、術後嚥痛、痰多等併髮癥明顯少于B組，差異均有統計學意義（P<0.05）。結論：歐普樂喉罩通氣應用于腹腔鏡肝癌射頻消融術，較氣管內插管全痳圍術期循環功能更加穩定，痳醉相關併髮癥更少。
목적：평개구보악후조통기재복강경간암사빈소융술전마중응용적안전성화가행성。방법：선택40례택기전마복강경간암사빈소융술환자，ASAⅡ~Ⅲ급，안수궤수자표법분위구보악후조조（A조）화기관내삽관조（B조）각20례。관찰기록량조환자재마취유도전（T0）、삽입후조혹기관도관전（T1）、삽입후조혹기관도관후즉각（T2）、삽입후조혹기관도관후5 min（T3）、발제후조혹기관도관후즉각（T4），5개시간점적수축압（SBP）、서장압（DBP）、심솔（HR）여맥박혈양포화도（SpO2）。병기록마취상관병발증。결과：B조T1여T4시점적SBP、DBP화HR수평균명현고우A조，차이균유통계학의의（P<0.05）；A조창해、소성기조동、술후인통、담다등병발증명현소우B조，차이균유통계학의의（P<0.05）。결론：구보악후조통기응용우복강경간암사빈소융술，교기관내삽관전마위술기순배공능경가은정，마취상관병발증경소。
Objective:To investigate the safety and feasibility of OPLAC-LMA ventilation during general anesthesia undergoing laparoscopic microwave ablation for hepatic carcinoma. Method:Forty patients with hepatic carcinoma for elective laparoscopic microwave ablation,ASAⅡ-Ⅲgrade,were randomly divided into two groups,20 cases in each group.Ventilation was performed with OPLAC-LMA(the group A)or tracheal intubation(the group B). The systolic blood pressure(SBP),diastolic blood pressure(DBP),heart rate(HR),pulse oxygen saturation(Sp02)of patients before anesthesia induction(T0),before(T1)and immediately after(T2)and 5 minutes after(T3)intubation or OPLAC-LMA insertion,the time of extubation or OPLAC-LMA pulled(T4)were observed.Related anesthesia complications were recorded. Result:SBP,DBP and HR at T1 and T4 in the group B patients were significantly higher than those in the group A,the differences were statistically significant(P<0.05).Incidence such as cough,emergence agitation,postoperative sore throat and phlegm and other complications in the group A were significantly less those that in the group B,the differences were statistically significant(P<0.05). Conclusion:Application of OPLAC-LMA ventilation undergoing laparoscopic microwave ablation for hepatic carcinoma,has more stable perioperative circulation, lower related anesthesia complications than that of tracheal intubation during general anesthesia.
