喉罩通气技术在腹腔镜妇科手术中的应用
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【摘要】目的 本文通过喉罩与气管插管在腹腔镜妇科手术中应用对比，探讨喉罩应用的安全性和有效性。方法 选择ASA分级Ⅰ～Ⅱ级腹腔镜妇科手术患者60例。随机分两组，LMA组，气管插管组，分别记录气道建立成功时、成功后30min及手术结束时的平均气道压(Pmean)、气道峰压(Ppeak)、呼气末二氧化碳分压(PetCO2)和患者入室时(T1)、人工气道建立成功时(T2)、建立后10min(T3)、拔管(喉罩)前即刻(T4)、拔管(喉罩)后即刻(T5)的平均动脉压(MAP)、心率(HR);并观察术中有无反流误吸情况及术后咽喉部并发症。结果 喉罩组和气管插管组在T2、成功后30min及手术结束时的Pmean、Ppeak、PetCO2比较，差异均无统计学意义。喉罩组在T2～T5时的MAP、HR明显低于同时点的气管插管组，差异均有统计学意义。结论 喉罩通气技术用于腹腔镜妇科手术患者优于气管插管，易于维持血流动力学稳定，应激反应轻，术后恢复平稳。
【关键词】喉罩通气技术 腹腔镜 妇科手术 全身麻醉
中图分类号：R614文献标识码：A文章编号：1005-0515(2011)10-016-02
Laryngeal mask airway in laparoscopic gynecological surgery
JIN ZhenJiangLI ShuwuTu XuefengLi XiaofengFan Mingwei
(Fuyingyiyuan Liaohe Oilfield, LiaoningPanjin 124008)
【Abstract】Objective In this paper, laryngeal mask and tracheal intubation in laparoscopic gynecological surgery applied contrast, application of the laryngeal mask safety and effectiveness. Methods ASA physical Ⅰ ~ Ⅱ grade 60 patients with laparoscopic gynecological surgery. Randomly divided into two groups, LMA group, endotracheal intubation group, the airway were recorded to establish successful, after the success of surgery at the end of 30min and mean airway pressure (Pmean), peak airway pressure (Ppeak), end-tidal carbon dioxide partial pressure (PetCO2) and when patients with burglary (T1), the establishment of successful artificial airway (T2), after the establishment of 10min (T3), extubation (laryngeal mask) immediately before (T4), extubation (laryngeal mask) immediately after ( T5) in mean arterial pressure (MAP), heart rate (HR); and observe whether the intraoperative aspiration of reflux and postoperative throat complications. Results LMA group and the endotracheal intubation group T2, and 30min after the success of surgery at the end of Pmean, Ppeak, PetCO2, the difference was not statistically significant. LMA group at T2 ~ T5 when the MAP, HR was significantly lower than the same time point of intubation group, the differences were statistically significant. Conclusion Laryngeal mask airway for laparoscopic gynecological surgery technique is superior to tracheal intubation, easy to maintain hemodynamic stability, stress reactions, postoperative recovery stable.
【Key words】laryngeal mask ventilation technology laparoscopic gynecological surgery general anesthesia
本次研究旨在观察喉罩在腹腔镜妇科手术麻醉中的应用效果，探讨其安全性和有效性。
1 资料与方法
1.1 一般资料 选择ASA分级Ⅰ～Ⅱ级腹腔镜妇科手术患者60例 ......
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