中华腔镜外科杂志（电子版）
中華腔鏡外科雜誌（電子版）
중화강경외과잡지（전자판）
CHINESE JOURNAL OF LAPAROSCOPIC SURGERY ( ELECTRONIC EDITION)
2014年
5期
399-401
,共3页
口咽通气道%面罩给氧%喉罩通气%气管插管%血气分析
口嚥通氣道%麵罩給氧%喉罩通氣%氣管插管%血氣分析
구인통기도%면조급양%후조통기%기관삽관%혈기분석
Oropharyngeal airway%Mask oxygen inhalation%Laryngeal mask airway%Endotracheal intubation%Blood gas analysis
目的：观察口咽通气道联合面罩给氧通气、喉罩通气及气管插管通气三种方式对腹腔镜胆囊切除患者血气分析的影响。方法选择本院收治需行腹腔镜胆囊切除患者300例作为研究对象，随机分为三组，每组100例，A 组采取口咽通气道联合面罩通气，B 组给予喉罩通气，C 组给予气管插管通气，比较三组患者血气分析相关指标差异及并发症发生率差异。结果A 组、B 组、C 组气腹后5 min PaCO2分别为（5．79±0．57）kPa、（5．73±0．56）kPa、（5．69±0．46）kPa，均高于气腹前 PaCO2， tA ＝16．231；tB ＝16．127；tC ＝16．387，P ＜0．05，三组比较无明显差异；A 组采取口咽通气道联合面罩给氧通气后术后并发症18例（18．0％），低于 B 组术后并发症25例（25．0％）、C 组38例（38．0％），χ2AC ＝32．262；χ2AB ＝15．687，均 P ＜0．05。三组胃膨胀情况比较无显著统计学差异；且三组均未出现返流。结论口咽通气道联合面罩通气、喉罩通气及气管插管通气均可应用于腹腔镜胆囊切除术，操作简便、安全，具有重要临床价值。
目的：觀察口嚥通氣道聯閤麵罩給氧通氣、喉罩通氣及氣管插管通氣三種方式對腹腔鏡膽囊切除患者血氣分析的影響。方法選擇本院收治需行腹腔鏡膽囊切除患者300例作為研究對象，隨機分為三組，每組100例，A 組採取口嚥通氣道聯閤麵罩通氣，B 組給予喉罩通氣，C 組給予氣管插管通氣，比較三組患者血氣分析相關指標差異及併髮癥髮生率差異。結果A 組、B 組、C 組氣腹後5 min PaCO2分彆為（5．79±0．57）kPa、（5．73±0．56）kPa、（5．69±0．46）kPa，均高于氣腹前 PaCO2， tA ＝16．231；tB ＝16．127；tC ＝16．387，P ＜0．05，三組比較無明顯差異；A 組採取口嚥通氣道聯閤麵罩給氧通氣後術後併髮癥18例（18．0％），低于 B 組術後併髮癥25例（25．0％）、C 組38例（38．0％），χ2AC ＝32．262；χ2AB ＝15．687，均 P ＜0．05。三組胃膨脹情況比較無顯著統計學差異；且三組均未齣現返流。結論口嚥通氣道聯閤麵罩通氣、喉罩通氣及氣管插管通氣均可應用于腹腔鏡膽囊切除術，操作簡便、安全，具有重要臨床價值。
목적：관찰구인통기도연합면조급양통기、후조통기급기관삽관통기삼충방식대복강경담낭절제환자혈기분석적영향。방법선택본원수치수행복강경담낭절제환자300례작위연구대상，수궤분위삼조，매조100례，A 조채취구인통기도연합면조통기，B 조급여후조통기，C 조급여기관삽관통기，비교삼조환자혈기분석상관지표차이급병발증발생솔차이。결과A 조、B 조、C 조기복후5 min PaCO2분별위（5．79±0．57）kPa、（5．73±0．56）kPa、（5．69±0．46）kPa，균고우기복전 PaCO2， tA ＝16．231；tB ＝16．127；tC ＝16．387，P ＜0．05，삼조비교무명현차이；A 조채취구인통기도연합면조급양통기후술후병발증18례（18．0％），저우 B 조술후병발증25례（25．0％）、C 조38례（38．0％），χ2AC ＝32．262；χ2AB ＝15．687，균 P ＜0．05。삼조위팽창정황비교무현저통계학차이；차삼조균미출현반류。결론구인통기도연합면조통기、후조통기급기관삽관통기균가응용우복강경담낭절제술，조작간편、안전，구유중요림상개치。
Objective To observe the effect of three ways of oropharyngeal airway combined with mask oxygen inhalation,laryngeal mask airway and endotracheal intubation and ventilation for blood gas analysis of laparoscopic cholecystectomy patients.Methods Select 300 patients treated in our hospital who all needed laparoscopic cholecystectomy as the research objects,and they were randomly divided into three groups with 100 cases in each group,group A took the oropharyngeal airway combined with mask oxygen inhalation,B group was given laryngeal mask airway,group C adopted tracheal intubation,then to compare indexes differences related with blood gas analysis and complications incidence rates of three groups.Results The PaCO2 in group A,group B,group C after 5min were (5.79 ±0.57)kPa,(5.73 ±0.56)kPa, (5.69 ±0.46)kPa and were higher than before pneumoperitoneum,tA =16.231,tB =16.127,tC =16.387,P <0.05.The postoperative complication of group A adopted the oropharynx air duct combined with mask oxygen postoperative was 18 cases (18%)and was lower than 25 cases (25%)occurred in group B and group C 38 cases (38.0%),χ2AC =32.262,χ2AB =15.687,P <0.05.There were not significant statistical difference about gastric regutgitation in three groups.Conclusion The oropharyngeal airway combined with mask oxygen inhalation and laryngeal mask airway and endotracheal intubation and ventilation can be used in laparoscopic cholecystectomy,and they have the advantages of simple operation,safety so they has important value.
