摘要
目的探讨单次腰麻复合喉罩在妇科腹腔镜手术中的应用和效果评价。方法选择妇科腹腔镜手术患者60例,随机分成单次腰麻复合喉罩(A)组和气管插管静脉复合麻醉(B)组,观察围麻醉期的血流动力学、SpO2、PETCO2变化及并发症情况。结果 A组在置入期和拔除期HR、MAP的变化较B组小(P<0.05,P<0.01);两组的SpO2、PETCO2变化差异无显著性(P>0.05);术后随访,A组无咽喉不适,B组咽喉不适6例;A组患者阿曲库铵,芬太尼用量及术后恢复室停留时间明显小于B组(P<0.05)。结论采用单次腰麻复合喉罩麻醉和气管插管静脉复合麻醉都可安全应用于妇科腹腔镜手术。
Objective To investigate the single-spinal anesthesia combined with laryngeal mask airway in gynecologic laparoscopic surgery in the application and effect evaluation. Methods 60 patients with gynecologic laparoscopic surgery were randomly assigned to a single spinal anesthesia combined with laryngeal mask airway (A) group and B group of endotracheal intubation, intravenous general anesthesia to observe the hemodynamics during anesthesia, SPO2, PETCO2 changes and complications. Results A group phase and extraction phase into HR, MAP compared with B group of small changes in P0.05); postoperative follow-up, A group of non-throat discomfort, B group of six cases of throat discomfort; A group of patients with atracurium, fentanyl consumption and postoperative recovery room stay significantly less than B group (P<0.05). Conclusion The use of a single spinal anesthesia combined with laryngeal mask anesthesia and tracheal intubation intravenous anesthesia applied to gynecological laparoscopic surgery can be safe.
出处
《中国现代医药杂志》
2010年第7期5-7,共3页
Modern Medicine Journal of China
基金
广西科技厅广西科学研究与技术开发计划课题桂科计字2008(16)4-27
关键词
喉罩
气管插管
静脉全麻
腰麻
腹腔镜手术
Laryngeal mask Tracheal intubation Intravenous anesthesia Spinal anesthesia Laparoscopic surgery
