摘要
目的:观察臂丛阻滞复合喉罩全身麻醉在肱骨干骨折手术患者中的应用效果。方法:选取2022年1月至2022年3月佳木斯大学宏大医院收治的90例肱骨干骨折患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各45例。对照组采用臂丛阻滞麻醉,观察组在对照组基础上复合喉罩全身麻醉,比较两组不同时间点[麻醉前(T_(0))、麻醉诱导后即刻(T_(1))、气管插管或置入喉罩即刻(T_(2))、术中15 min(T_(3))、手术结束即刻(T4)]的血流动力学指标[心率、血氧饱和度(SaO_(2))、气道峰压、呼气末二氧化碳分压(PETCO_(2))]水平、麻醉优良率及不良反应发生率。结果:T0时,两组心率、SaO_(2)、气道峰压及PETCO_(2)水平比较,差异均无统计学意义(P>0.05);T_(1)~T_(3)时,观察组心率、PETCO_(2)水平均高于T0时,差异有统计学意义(P<0.05);观察组SaO_(2)、气道峰压水平与T_(0)时比较,差异均无统计学意义(P>0.05);T_(4)时,观察组心率、SaO_(2)、气道峰压及PETCO_(2)水平与T0时比较,差异均无统计学意义(P>0.05);T_(1)~T_(4)时,对照组心率、气道峰压及PETCO_(2)水平均高于T0时,但观察组低于对照组,SaO_(2)水平低于T_(0)时,但观察组高于对照组,差异均有统计学意义(P<0.05);观察组麻醉优良率为97.78%,高于对照组的73.33%,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:喉罩全身麻醉复合臂丛阻滞麻醉应用于肱骨干骨折患者可稳定血流动力学,以及提高麻醉优良率的效果优于单纯臂丛阻滞麻醉。
Objective:To observe application effects of laryngeal mask general anesthesia combined with brachial plexus blocking anesthesia in patients undergoing humeral shaft fracture surgeries.Methods:A prospective study was conducted on 90 patients with humeral shaft fractures admitted to the Hongda Hospital of Jiamusi University from January 2022 to March 2022.They were divided into control group and observation group according to the random number table method,45 cases in each group.The control group was given brachial plexus block anesthesia,while the observation group used laryngeal mask general anesthesia on the basis of that of the control group.The hemodynamic index levels[heart rate,blood oxygen saturation(SaO_(2)),peak airway pressure,end-tidal carbon dioxide partial pressure(PETCO_(2))]at different time points[before anesthesia(T_(0)),immediately after anesthesia induction(T_(1)),immediately after tracheal intubation or laryngeal mask placement(T_(2)),15 min during the surgery(T_(3)),and immediately after the surgery(T_(4))],the anesthesia good rate,and the incidence of adverse reactions were compared between the two groups.Results:At T_(0),there were no significant differences in the heart rate,SaO_(2),peak airway pressure and PETCO_(2) levels between the two groups(P>0.05).At T_(1)-T_(3),the heart rate and PETCO_(2) level in the observation group were higher than those at T_(0),and the differences were statistically significant(P<0.05).There were no statistically significant differences in the SaO_(2) and airway peak pressure levels in the observation group at T_(1)-T_(3) and at T_(0)(P>0.05).There were no statistically significant differences in the heart rate,SaO_(2),peak airway pressure,and PETCO_(2) levels in the observation group at T_(4) and at T_(0)(P>0.05).At T_(1)-T_(4),the heart rate,airway peak pressure and PETCO_(2) levels of the control group were higher than those at T_(0),but those in the observation group were lower than those in the control group;the level of SaO_(2) was lower than that at T_
作者
丁田阳
仇晓霜
DING Tianyang;QIU Xiaoshuang(Department of Anesthesiology of Hongda Hospital of Jiamusi University,Jiamusi 154000 Heilongjiang,China;Department of Nephrology of the First Affiliated Hospital of Jiamusi University,Jiamusi 154000 Heilongjiang,China)
出处
《中国民康医学》
2023年第11期74-76,80,共4页
Medical Journal of Chinese People’s Health
关键词
肱骨干骨折
臂丛阻滞
喉罩全身麻醉
麻醉优良率
血流动力学
血氧饱和度
Humeral shaft fracture
Brachial plexus block
Laryngeal mask general anesthesia
Excellent and good rate of anesthesia
Hemodynamics
Blood oxygen saturation
