摘要
目的探讨插管型喉罩在妇科腹腔镜手术麻醉中应用。方法选取2017年9月—2018年9月于本院就诊并且需要进行妇科腹腔镜手术的患者共计88例,根据其就诊时间将其分为研究组和对照组,对照组实行传统插管,研究组在对照组的基础上增加使用插管型喉罩,比较两组患者不同时间的心率(HR)、收缩压(SBP)、舒张压(DBP)。结果前两组患者的HR、SBP、DBP三项数据比较,差异无统计学意义(P> 0.05),插入后和拔除后的各个时间中研究组患者的HR、SBP以及DBP指标均优于对照组,差异具有统计学意义(P <0.05)。结论在临床妇科腹腔镜手术麻醉中,应用插管型喉罩进行辅助麻醉较之传统的气管内插管全身麻醉,对患者的血流动力学影响更小。
Objective To explore the application of intubation laryngeal mask airway in gynecological laparoscopic surgery. Methods 88 patients who needed gynecological laparoscopic surgery from September 2017 to September 2018 were selected and divided into study group and control group according to their visiting time. The control group was given traditional intubation and the study group was given intubation laryngeal mask on the basis of control group. The two groups were compared at different time,heart rate (HR),systolic blood pressure (SBP) and diastolic blood pressure (DBP). Results The data of HR, SBP and DBP in the two groups were similar, but there was no significant difference (P > 0.05). The HR, SBP and DBP data of the study group were lower than those of the control group at each time after insertion and removal, and the related data were in a relatively normal range, with statistical significance (P < 0.05). Conclusion In clinical gynecological laparoscopic anesthesia, the use of intubated laryngeal mask for assisted anesthesia has less impact on hemodynamics than traditional general anesthesia with endotracheal intubation.
作者
周爱莲
ZHOU Ailian(Department of Anesthesiology, Anlu Maternal and Child Health Care Hospital, Anlu Hubei 432600,China)
出处
《中国继续医学教育》
2019年第24期61-63,共3页
China Continuing Medical Education
关键词
插管型喉罩
气管内插管全身麻醉
妇科
腹腔镜手术
血流动力学
手术安全
intubated laryngeal mask
endotracheal intubation general anesthesia
gynecology
laparoscopic surgery
hemodynamics
surgical safety
