摘要
目的:探讨喉罩通气道(LMA)应用于全身麻醉下腹腔镜胆囊切除手术的可行性和安全性。方法:将择期腹腔镜胆囊切除术患者220例,随机分为喉罩组和气管插管组。观察插管(罩)前后血压(BP)、心率(HR)的变化以及术后胃胀、咽喉疼痛情况。结果:气管插管组导管插入后的BP、HR均较插入前明显升高(P<0.01),喉罩组则没有明显变化。气管插管组咽痛等并发症发生率及疼痛程度明显高于喉罩组。结论:喉罩通气道较气管插管对患者生理功能影响较小,并发症也少,可以安全用于腹腔镜胆囊切除术。
Objective ：To observe the safety and efficacy of the laryngeal mask airway（LMA） in the laparoscopic cholecystectomy under general anesthesia. Methods：220 patients with ASA Ⅰ - Ⅱ scheduled for laparoscopic cholecystectomy under general anesthesia were randomized into 2 groups, laryngeal mask group（n =110） and endotracheal intubation （ETT） group（n = 110）. Blood pressure （BP）, heart rate （FIR） were observed and recorded before intubation or later. Gastric distention and sore throat were assessed. Results：After intubation, BP and HR increased significantly in endotracheal intubation（ETT） group（P〈0.01）,while laryngeal mask group had no significant change. The incidence and degree of sore throat in endotracheal intubation （ETT） group were significant higher than those in laryngeal mask group. Conclusion：There were less adverse effects in LMA than ETT under general anesthesia in the laparoscopic cholecystectomy, LMA was safe and efficacious.
出处
《现代医药卫生》
2008年第11期1589-1590,共2页
Journal of Modern Medicine & Health
关键词
喉罩气道
气管内插管
腹腔镜胆囊切除术
全身麻醉
Laryngeal mask airway
Endotracheal intubation
Laparoscopic cholecystectomy
General anesthesia
