摘要
目的观察喉罩通气在上肢骨科手术麻醉中的应用效果,并将其与气管内插管通气的麻醉方法进行比较,从而为医院合理运用麻醉方法提供参考。方法对我院2015年1月至2015年7月60例需要进行上肢骨科手术的患者进行随机分组,分别为试验组30例,手术进行喉罩通气麻醉;对照组30例,手术进行气管内插管通气麻醉;对比这两组患者在术中及术后的心率和血压变化、术后清醒时间以及拔出时有无咳嗽、血迹残留、误吸等并发症情况。结果两组患者在术中的心率和血压变化差异无统计学意义(P>0.05),术后试验组的心率和血压变化幅度显著高于对照组,术后清醒时间试验组优于对照组,且咳嗽等并发症情况的出现试验组明显低于对照组,两组结果比较差异均有统计学意义(P<0.05)。结论在临床效果上,采用喉罩通气麻醉的方法更加安全,且术后患者苏醒快,并发症出现情况较少,值得被应用推广。
Objective To observe the effect of the use of laryngeal mask airways on the anesthesia in orthopedic surgery of the upper extremities,and to compare it with the anesthesia of endotracheal intubation airways,so as to provide a reference with hospital to use the methods of anesthesia reasonably. Methods Randomly defined 60 patients from our hospital,since January,2015 to July,2015,who needed to receive an orthopedic surgery of the upper extremities,into two groups.The former was the treatment group with 30 patients,which was given the anesthesia of laryngeal mask airways. And the latter was the control group also with 30 patients,which was given the anesthesia of endotracheal intubation airways.Comparing the two groups＇ changes of heart rate and blood pressure in and after surgery,the awake time after surgery and whether there are coughs,residual blood,incautious snifting or other complications. Results There was no statistically significant difference in the changes of heart rate and blood pressure of the two groups during surgery（ P〉0. 05）.But considering the range of changes in heart rate and blood pressure after surgery,the treatment group was significantly higher than the control group.In the awake time after surgery,treatment group was better than the control group,and in the terms of the appearances of complications such as coughs,treatment group was significantly lower than the control group,and there was statistically significant difference in the comparing results between the two groups（ P〈0. 05）.Conclusion In clinical effect,using the laryngeal mask airways to do the anesthetic was safer,patients would regain consciousness faster after surgery and there was less possibility to have complications.So the method is worth being applied and popularized.
出处
《四川医学》
CAS
2016年第2期199-201,共3页
Sichuan Medical Journal
关键词
喉罩
骨科手术
临床效果
laryngeal mask airways
orthopedic surgery
clinical effect
