欧普乐喉罩用于髋关节置换手术的临床观察

发布时间：2018-04-20 16:25

本文选题：关节成形术 + 置换　；参考：《重庆医学》2015年05期

【摘要】：目的观察欧普乐喉罩用于髋关节置换手术患者静吸复合全身麻醉的人工气道的有效性、安全性及医患接受程度。方法 78例髋关节置换手术患者,其中42例患者采用欧普乐喉罩静吸复合全身麻醉(OPLAC组),36例患者采用健侧卧位下轻比重腰硬联合麻醉(CESA组)。监测两组麻醉开始前、麻醉用药后10、30min、1h,以及处理髓腔时呼吸及循环参数的变化,观察两组患者并发症发生情况,随访患者及手术医生对麻醉的满意度。结果 OPLAC组在麻醉诱导及麻醉维持中呼吸及循环都相对稳定;CESA组在麻醉后出现明显循环抑制及呼吸减慢,需要使用阿托品与多巴胺支持的病例明显多于OPLAC组;在处理髓腔时,OPLAC组循环及呼吸较平稳,而CESA组则有明显的循环波动;CESA组的谵妄发生率明显高于OPLAC组;OPLAC组的医患满意度明显优于CESA组。结论欧普乐喉罩用于髋关节置换术手术患者的静吸复合全身麻醉人工气道安全、有效、医患满意度高。
[Abstract]:Objective to observe the efficacy, safety and patient acceptance of olprolol laryngeal mask in patients undergoing hip arthroplasty. Methods Seventy-eight patients underwent hip arthroplasty, of whom 42 were treated with OPLAC combined with OPLAC. 36 patients were treated with mild specific gravity spinal-epidural anesthesia under normal lateral position. The changes of respiratory and circulatory parameters were monitored before and 10 minutes after anesthesia in both groups, and the changes of respiratory and circulatory parameters were observed during the treatment of medullary cavity. The complications of the two groups were observed, and the satisfaction of the patients and the surgeon to the anesthesia was observed. Results the respiration and circulation of OPLAC group were relatively stable during anesthesia induction and maintenance. There were obvious circulatory inhibition and respiratory retardation after anesthesia in OPLAC group. The number of patients who needed atropine and dopamine support was significantly higher than that in OPLAC group. The incidence of delirium in the CESA group was significantly higher than that in the OPLAC group and that in the OPLAC group was significantly higher than that in the CESA group. Conclusion it is safe, effective and highly satisfactory for patients undergoing hip arthroplasty with olprolol larynx mask for intravenous inhalation combined with general anesthesia.
【作者单位】：重庆市第七人民医院麻醉科;
【分类号】：R614

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