喉罩麻醉与气管插管麻醉在胆囊切除术中的麻醉效果对比

发布时间：2018-01-04 09:19

本文关键词：喉罩麻醉与气管插管麻醉在胆囊切除术中的麻醉效果对比　出处：《临床医药文献电子杂志》2016年04期 　论文类型：期刊论文

【摘要】：目的比较喉罩麻醉与气管插管麻醉用于胆囊切除术患者的麻醉效果。方法按照随机双盲法将行腹腔镜胆囊切除术患者433例分为观察组217例与对照组216例。观察组患者、对照组患者分别置入喉罩、气管插管用于麻醉。对比观察两组患者的麻醉效果,维库溴铵用量、拔管时间、清醒时间等相关指标,不良反应发生情况。结果观察组与对照组麻醉优良率分别为98.2%、91.7%,喉罩麻醉的效果优于气管插管麻醉,差异有统计学意义(P0.05);喉罩麻醉所需维库溴铵量少于气管插管麻醉,拔管时间短,麻醉后患者清醒快,差异有统计学意义(P0.05);喉罩麻醉出现恶心、咽喉痛、呛咳、呕吐等不良反应的几率明显低于气管插管麻醉,差异有统计学意义(P0.05)。结论与气管插管麻醉相比,喉罩麻醉的麻醉效果更好,且安全性高,不会对患者声带、气管造成损害,麻醉后患者苏醒快,是一种安全、有效的麻醉方式,值得临床推广。
[Abstract]:Objective to compare the laryngeal mask anesthesia and tracheal intubation anesthesia for cholecystectomy patients. Methods according to the randomized double blind method of laparoscopic cholecystectomy in 433 patients were divided into the observation group of 217 cases and 216 cases in the control group. The patients in the observation group, the patients in the control group were implanted into the laryngeal mask intubation anesthesia. To observe the effect of anesthesia, two groups of patients with vecuronium dosage, extubation time, waking time and other related indicators, the occurrence of adverse reactions. The results of the observation group and the control group anesthesia excellent rate were 98.2%, 91.7%, tracheal intubation is superior laryngeal mask anesthesia, the difference was statistically significant (P0.05); laryngeal mask anesthesia required vecuronium is less than tracheal intubation, extubation time, anesthesia in awake patients, the difference was statistically significant (P0.05); laryngeal mask anesthesia nausea, sore throat, cough, vomiting and other adverse reactions were likely Under tracheal intubation anesthesia, the difference was statistically significant (P0.05). Conclusion and tracheal intubation, better anesthesia effect of laryngeal mask anesthesia, and high safety, not for patients with vocal, tracheal damage, recovery after anesthesia, is a safe and effective anesthesia method, worthy of promotion.

【作者单位】：深州市医院麻醉科;深州市医院检验科;深州市医院外科;
【分类号】：R614
【正文快照】： 胆囊切除术是临床上治疗胆囊息肉、胆囊结石等疾病常用的方法,安全、有效的麻醉方法是手术顺利进行、减轻患者痛苦的重要保证[1]。气管插管麻醉是临床上使用频繁的麻醉方式,但研究发现[2],该方法易影响患者血液流变学,引发呼吸道并发症、心血管反应。本次研究分别对两组患者使

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