摘要
目的评价经Proseal喉罩吸入七氟醚麻醉在腹腔镜手术中的临床应用。方法择期行腹腔镜胆囊切除术患者40例,ASAⅠ～Ⅱ级,随机分为七氟醚吸入喉罩组（A组,n=20）;靶控输注喉罩组（B组,n=20）。记录诱导前（T0）、置喉罩即刻（T1）、切皮（T2）、术中取胆囊（T3）、缝皮（T4）、拔喉罩即刻（T5）HR、SBP;诱导时间;PACU滞留时间;术后躁动发生率。结果 A组与B组患者各时段HR、SBP均较平稳;组内与诱导前比较差异无统计学意义,P〉0.05;两组相比差异亦无统计学意义,P〉0.05。A组患者诱导时间明显短于B组患者,P〈0.05。A组PACU滞留时间与B组相比差异无统计学意义,P〉0.05。A组术后躁动发生率与B组相比差异无统计学意义,P〉0.05。结论经Proseal喉罩吸入七氟醚麻醉用于腹腔镜手术,诱导迅速,操作简便,插管刺激小,血流动力学平稳,术后躁动发生率低,可有效、安全地应用于腹腔镜手术。
Objective To evaluate the effects of sevoflurane inhalation anesthesia with Proseal laryngeal mask（PLMA） undergoing laparoscopic cholecystectomy（LC）.Methods Forty patients（ASA Ⅰ-Ⅱ） were randomly divided into two groups（n=20 each）.Group A received the anesthesia with sevoflurane inhalation anesthesia with PLMA and group B received the anesthesia with TCI by PLMA.The changes of HR and SBP in the two groups were monitored in terms of pre-induction（T0）,post-induction（T1）,the moment of wearing the mask（T2）,Cutting skin（T3）,the moment of obtaining gallbladder（T4）,the moment of removal the mask（T5）,respectively.Induction time,resistance time in PACU and postoperative delirium were also recorded.Results HR and SBP in the two groups showed no obvious change in each moment.The induction time was（95±23）s in group A while（178±97）s in group B（P0.05,group comparison）.The resistance time in PACU was（12±2）min in group A while（10±3）min in group B.（P0.05,group comparison）.The incidence of postoperative delirium was 15% in group A and 20% in group B（P0.05）.Conclusion Sevoflurane inhalation anesthesia with Proseal laryngeal mask ventilation undergoing laparoscopic cholecystectomy was effective and safe with quicker onset,convenient operation,more steady haemodynamics,less postoperative delirium.It was an ideal method.
出处
《中华全科医学》
2011年第6期899-900,共2页
Chinese Journal of General Practice
关键词
喉罩
PROSEAL
七氟醚
腹腔镜
Laryngeal mask
Proseal
Sevoflurane
Laparoscopic cholecystectomy
