双腔食管引流型喉罩在腹腔镜胆囊手术麻醉中的应用

发布时间：2018-06-13 02:26

本文选题：双腔食管引流型喉罩 + 腹腔镜胆囊手术　；参考：《实用临床医学》2016年04期

【摘要】：目的观察双腔食管引流型喉罩(PLMA)在腹腔镜胆囊手术麻醉中的效果。方法回顾性分析124例接受腹腔镜胆囊手术患者的临床资料,按不同麻醉通气方案分为对照组和研究组,每组62例。对照组予以气管插管麻醉通气,研究组予以PLMA麻醉通气,比较2组置管或置罩前(T1)、置管或置罩即刻(T2)、置管或置罩后3min(T3)、拔管或拔罩后即刻(T4)、拔管或后拔罩3 min(T5)血气分析指标变化及并发症发生情况。结果对照组T2、T5时平均动脉压(MAP)、心率(HR)均显著高于T1(P0.05),而研究组T2、T5时MAP、HR均显著低于对照组(P0.05),2组不良反应发生率差异无统计学意义(P0.05)。结论 PLMA应用于腹腔镜胆囊手术麻醉可获得满意效果,不仅血流动力学平稳,且安全性高。
[Abstract]:Objective to observe the effect of double-cavity laryngeal mask PLMA in laparoscopic cholecystectomy. Methods the clinical data of 124 patients undergoing laparoscopic cholecystectomy were retrospectively analyzed. The control group was given tracheal intubation anesthesia ventilation, and the study group was given PLMA anesthesia ventilation. The changes of blood gas indexes and complications were compared between the two groups. The blood gas indexes of the two groups were analyzed as follows: T1, T2, T3, T4, T4, T5, T2, T2, T2, T3, T4, T5, T4, T5 and T5, respectively. Results in the control group, the mean arterial pressure (MAPP) and heart rate (HRR) were significantly higher than those in the control group (P < 0.05), while in the study group at T _ 2 / T _ 5 were significantly lower than those in the control group (P _ (0.05) P _ (0.05) and the incidence of adverse reactions was not significantly different from that in the control group (P _ (0.05) P _ (0.05). Conclusion PLMA can obtain satisfactory results in laparoscopic cholecystectomy with stable hemodynamics and high safety.
【作者单位】：浚县人民医院麻醉科;
【分类号】：R614

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