CAJ | 학술논문

目的比较喉罩与气管插管在全麻腹腔镜卵巢囊肿剥除术诱导期、恢复期的血流动力学变化及术后并发症情况.方法选择ASAⅠ~Ⅱ级腹腔镜卵巢囊肿剥除术100例,随机分为喉罩组( A 组)和气管插管组( B 组)两组,每组各50例,记录麻醉诱导前T1时、诱导插管(喉罩)T2时、苏醒拔管(喉罩)T3时的平均动脉压(MAP)、心率(HR)变化；术后回访询问患者有无咽喉痛、声音嘶哑、咳嗽及分泌物增多情况,并记录病例数.结果两组T2、T3时的平均动脉压(MAP)比较,B组明显高于A组(P<0.05).两组T2、T3时的心率(HR)比较,B组高于A组(P<0.05).术后随访：B组咽喉痛、声音嘶哑、咳嗽等不良反应的发生率高于A组(P<0.05).结论喉罩用于全麻腹腔镜卵巢囊肿剥除术优于气管内插管,麻醉诱导期和恢复期患者血流动力学较稳定,应激反应轻,全麻恢复过程平顺,术后并发症少.
목적비교후조여기관삽관재전마복강경란소낭종박제술유도기、회복기적혈류동역학변화급술후병발증정황.방법선택ASAⅠ~Ⅱ급복강경란소낭종박제술100례,수궤분위후조조( A 조)화기관삽관조( B 조)량조,매조각50례,기록마취유도전T1시、유도삽관(후조)T2시、소성발관(후조)T3시적평균동맥압(MAP)、심솔(HR)변화；술후회방순문환자유무인후통、성음시아、해수급분비물증다정황,병기록병례수.결과량조T2、T3시적평균동맥압(MAP)비교,B조명현고우A조(P<0.05).량조T2、T3시적심솔(HR)비교,B조고우A조(P<0.05).술후수방：B조인후통、성음시아、해수등불량반응적발생솔고우A조(P<0.05).결론후조용우전마복강경란소낭종박제술우우기관내삽관,마취유도기화회복기환자혈류동역학교은정,응격반응경,전마회복과정평순,술후병발증소.
Objective Compare laryngeal mask with endotracheal intubation in anesthesia laparoscopic ovarian cystectomy induction period, convalescent hemodynamic changes and postoperative complications. Methods Select 100 cases of ASA Ⅰ ~ Ⅱ grade laparoscopic ovarian cystectomy, Laryngeal mask group (A) and intubation group (B) were randomly divided into,50 cases in each group, Recorded before induction of anesthesia at T1, after induction intubation (laryngeal mask) T2, regained consciousness extubation (laryngeal mask) the T3 when mean arterial pressure (MAP), heart rate (HR) changes; return visit patients were asked whether the sore throat,hoarseness, cough, and increased secretions, and record the number of cases. Results Significantly increased at T2, T3 when mean arterial pressure (MAP), B group was significantly higher than that of A group (P <0 05). Two groups T2, T3 when the heart rate (HR), B group higher than the A group (P <0.05). Postoperative follow-up: group B sore throat, hoarseness, cough, such as the high incidence of adverse reactions in the A group (P <0.05). Conclusion Laryngeal mask airway for laparoscopic ovarian cyst removed under general anesthesia is preferable to endotracheal intubation , Induction of anesthesia and convalescent patients with hemodynamic stable ,light stress response and anesthesia recovery process smooth, less post-operative complications.