CAJ | 학술논문

目的:探讨喉罩麻醉与气管插管麻醉在胆囊手术中的效果比较.方法:将100例胆囊切除术患者随机分为对照组和观察组,对照组采用气管插管麻醉,观察组采用喉罩麻醉,比较两组患者麻醉情况及血液动力学变化.结果:观察组的拔管时间、清醒时间显著短于对照组,维库溴铵用量显著少于对照组(P<0.05).两组患者的心率(HR)、收缩压(SPB)、舒张压(DPB)在麻醉诱导前(T0)时无显著性差异(P>0.05).两组在诱导后(T1)、置喉罩(或插管)后即刻(T2)、置喉罩(或插管)后5 min(T3)、10 min(T4)时刻的SPB、DPB显著低于T0(P<0.05).观察组在T1、T2、T3和T4的SPB、DPB、HR与对照组的这四个相同时刻点的这三项指标有显著性差异(P<0.05).结论:喉罩麻醉用于胆囊切除术效果满意,血液动力学较稳定,值得临床推广.
목적:탐토후조마취여기관삽관마취재담낭수술중적효과비교.방법:장100례담낭절제술환자수궤분위대조조화관찰조,대조조채용기관삽관마취,관찰조채용후조마취,비교량조환자마취정황급혈액동역학변화.결과:관찰조적발관시간、청성시간현저단우대조조,유고추안용량현저소우대조조(P<0.05).량조환자적심솔(HR)、수축압(SPB)、서장압(DPB)재마취유도전(T0)시무현저성차이(P>0.05).량조재유도후(T1)、치후조(혹삽관)후즉각(T2)、치후조(혹삽관)후5 min(T3)、10 min(T4)시각적SPB、DPB현저저우T0(P<0.05).관찰조재T1、T2、T3화T4적SPB、DPB、HR여대조조적저사개상동시각점적저삼항지표유현저성차이(P<0.05).결론:후조마취용우담낭절제술효과만의,혈액동역학교은정,치득림상추엄.
Objective:Objective to investigate the effect comparison of Laryngeal mask anesthesia and tracheal intubation in the gallbladder operation. Methods:100 cases of cholecystectomy patients were divided into the observation group and the control group, the control group general anesthesia by endotracheal intubation, the observation group was treated with laryngeal mask anesthesia, compared two groups of patients with anesthesia, hemodynamic changes.Results:The observation group of extubation time, wake time was significantly shorter than that in the control group was significantly less than that in the control group, vecuronium bromide (P<0.05). In two groups of patients with heart rate (HR), systolic blood pressure (SPB), diastolic blood pressure (DPB) before anesthesia induction (T0) when no significant differences (P>0.05). In two group after induction (T1), the laryngeal mask (or tube ) (T2), immediately after the laryngeal mask (or tube) after 5min (T3),10 min (T4) time SPB, DPB was lower than that in T0(P<0.05). The observation group in T1, T2, T3and T4SPB, DPB, HR and control group at the same time points of the three indicators had significant difference(P<0.05).Conclusion:Laryngeal mask anesthesia for cholecystectomy effect is satisfactory, its hemodynamic is stability and it is worthy of clinical application.