喉罩在老年腹腔镜下胆囊切除术患者全身麻醉中的应用效果探讨

发布时间：2018-11-08 08:46

【摘要】：目的探讨喉罩在老年腹腔镜胆囊切除术患者全身麻醉中的应用效果。方法将134例老年腹腔镜下胆囊切除术患者随机分为观察组与对照组,每组各67例。观察组患者采用喉罩机械通气,对照组患者采用气管插管机械通气。比较两组患者麻醉效果、血流动力学变化及围术期并发症发生率。结果两组患者手术顺利,术中麻醉满意,术后苏醒及时,状态良好。T0时间点两组患者收缩压(SBP)、舒张压(DBP)、心率(HR)及脉搏血氧饱和度(Sp O2)比较差异均无显著性(P0.05)。与T0时间点比较,对照组患者T1时间点SBP、DBP及HR明显升高(P0.01),SBP与HR在T2时间点显著降低(P0.01);观察组患者T1时间点仅DBP明显升高,且升高水平显著低于对照组(P0.01);T_1、T_4时间点观察组患者SBP、DBP及HR均显著低于对照组(P0.01)。两组患者5个时间点Sp O_2均未发生显著变化(P0.05)。观察组患者围术期并发症发生率均显著低于对照组(P0.05或P0.01)。结论喉罩在老年腹腔镜胆囊切除术患者全身麻醉中保证良好通气及麻醉状态的同时,使血流动力学更加稳定,咽喉部并发症明显减少,安全性较高,值得推广。
[Abstract]:Objective to investigate the effect of laryngeal mask on general anesthesia in elderly patients undergoing laparoscopic cholecystectomy. Methods 134 elderly patients undergoing laparoscopic cholecystectomy were randomly divided into observation group (n = 67) and control group (n = 67). The patients in the observation group were ventilated with laryngeal mask, and the patients in the control group were mechanically ventilated with tracheal intubation. Anaesthesia effect, hemodynamic changes and perioperative complications were compared between the two groups. Results the operation was smooth, the anesthesia was satisfactory, the postoperative recovery was timely and the condition was good. Systolic (SBP), diastolic blood pressure (DBP),) in both groups at T0 time point There was no significant difference in heart rate (HR) and pulse oxygen saturation (Sp O 2) (P0.05). Compared with T0 time point, the SBP,DBP and HR of the control group increased significantly at T1 time point (P0.01), SBP and HR decreased significantly at T2 time point (P0.01); In the observation group, only DBP increased significantly at T1 time point, and the level of elevation was significantly lower than that in the control group (P0.01), while SBP,DBP and HR in the observation group were significantly lower than those in the control group (P0.01). There was no significant change in Sp O\ -2 at 5 time points in both groups (P 0.05). The incidence of perioperative complications in the observation group was significantly lower than that in the control group (P0.05 or P0.01). Conclusion the laryngeal mask can ensure good ventilation and anaesthesia in the elderly patients undergoing laparoscopic cholecystectomy, at the same time, the hemodynamics is more stable, the complications of pharynx and larynx are obviously reduced, and the safety is high, which is worth popularizing.
【作者单位】：内江市中医院麻醉科;
【分类号】：R614.2

【相似文献】