CAJ | 학술논문

目的观察喉罩-瑞芬太尼复合丙泊酚在短小手术快通道麻醉中的应用效果.方法 ASAI-I级的短小手术80例随机分为两组：喉罩组(L组)和气管导管组(T组),采用丙泊酚复合瑞芬太尼及维库溴铵进行麻醉诱导及麻醉维持,分别采用喉罩(L组)或气管导管(T组)维持通气.观察记录两组患者麻醉中血流动力学及SPO2变化,记录自主呼吸恢复时间,意识恢复时间及喉罩拔出或气管导管拔出时间,随访术后咽痛、嗜睡及恶心呕吐等不良反应.结果两组患者术中血流动力学均较稳定,通气效果无差异(P>0.05).但L组患者的自主呼吸及意识恢复时间,拔管时间明显短于T组患者相应时间(P<0.05),T组患者咽喉疼痛、嗜睡明显比L组严重(P<0.05).结论喉罩-瑞芬太尼复合丙泊酚可为短小手术提供一种安全、快捷、苏醒彻底的快通道麻醉方法.
목적관찰후조-서분태니복합병박분재단소수술쾌통도마취중적응용효과.방법 ASAI-I급적단소수술80례수궤분위량조：후조조(L조)화기관도관조(T조),채용병박분복합서분태니급유고추안진행마취유도급마취유지,분별채용후조(L조)혹기관도관(T조)유지통기.관찰기록량조환자마취중혈류동역학급SPO2변화,기록자주호흡회복시간,의식회복시간급후조발출혹기관도관발출시간,수방술후인통、기수급악심구토등불량반응.결과량조환자술중혈류동역학균교은정,통기효과무차이(P>0.05).단L조환자적자주호흡급의식회복시간,발관시간명현단우T조환자상응시간(P<0.05),T조환자인후동통、기수명현비L조엄중(P<0.05).결론후조-서분태니복합병박분가위단소수술제공일충안전、쾌첩、소성철저적쾌통도마취방법.
Objective To observe the effect of laryngeal mask combined with remifentanil-propofol in fast-track minor-operation. Methods eighty ASAI-II patients undergoing minor-operation were randomly divided into two groups. Propofol, remifentanil and vecuronium were infused in induction and maintenance of anesthesia. The laryngeal mask(group L) or tracheal tube (group T)were uesed for airway maintenance. The hemodynamics an SPO2 during anesthesia were recorded. The SPOntaneously breathing recovery time , consciousness recovery time, endotrcheal tube extubation time and side-effect were investigated. Results The hemodynamics were stable in two groups(P>0.05). No significant differences occurred in venting effect between them(P>0.05). The SPOntaneously breathing recovery time, consciousness recovery time and endotracheal tube extubation time in group L were obviously shorter than these time in group T(P<0.05). Less pharyngalgia and drowsiness happened in group L(P<0.05). Conclusion Laryngeal mask combined with remifentail-propofol could be used for minor operation as safe fast-track anesthesia .