喉罩通气全身麻醉在腹腔镜胆结石切除中的应用价值评价(1)
[摘要] 目的 研究探討喉罩通气全身麻醉在腹腔镜胆结石切除中的应用价值。方法 方便选择该院就诊且行腹腔镜胆囊切除术治疗的100例胆结石患者(2017年1月—2018年7月)，随机分为2组，对照组选择气管插管全身麻醉，观察组选择喉罩通气全身麻醉，比较两组的麻醉完成时间、麻醉起效时间、麻醉效果、血流动力学指标、术后麻醉恢复情况、不良反应发生率、认知功能指标。结果 观察组与对照组的麻醉优良率分别为96%、98%，比较差异无统计学意义(χ2=0.344，P>0.05)，但观察组的麻醉完成时间(4.51±1.08)min、麻醉起效时间(3.34±1.17)min均短于对照组(t=5.117、5.523， P<0.05)。麻醉后，观察组的平均动脉压(103.16±7.41)mmHg、心率(78.24±6.30)次/min与对照组的(103.84±7.03)mmHg、(77.53±5.71)次/min比较，差异无统计学意义(t=0.471、0.590，P>0.05)。观察组的自主呼吸恢复时间(7.14±1.37)min、睁眼时间(9.85±2.31)min、拔管时间(20.57±2.94)min均短于对照组，差异有统计学意义(t=4.877、4.811、5.472，P<0.05)，其不良反应总发生率(2%)低于对照组的14%，差异有统计学意义(χ2=4.891，P<0.05)，且在手术后，观察组的MMSE评分(23.95±2.13)分、MoCA评分(21.60±2.81)分均高于对照组，差异有统计学意义(t=8.601、5.126，P<0.05)。结论 在腹腔镜胆囊切除术中选择喉罩通气全身麻醉，其麻醉效果良好，还可加快患者术后苏醒，减少不良反应。
[关键词] 胆结石；腹腔镜胆囊切除术；喉罩通气全身麻醉；气管插管全身麻醉
[中图分类号] R737 [文献标识码] A [文章编号] 1674-0742(2019)03(b)-0102-04
[Abstract] Objective To investigate the value of general anesthesia for laryngeal mask ventilation in laparoscopic cholelithectomy. Methods 100 patients with gallstones who underwent laparoscopic cholecystectomy in our hospital (January 2017 to July 2018) were randomly divided into 2 groups. The control group was selected for general anesthesia with tracheal intubation， and the observation group was selected for laryngeal mask general anesthesia， and the anesthesia completion time， anesthesia onset time， anesthesia effect， hemodynamic parameters， postoperative anesthesia recovery， adverse reaction rate， and cognitive function index were compared between the two groups. Results The excellent anesthesia rate of the observation group and the control group were 96% and 98%， respectively. There was no significant difference (χ2=0.344， P>0.05)， but the anesthesia completion time of the observation group (4.51±1.08)min， anesthesia effect time (3.34±1.17)min was shorter than that of the control group (t=5.117， 5.523， P<0.05). After anesthesia， the mean arterial pressure (103.16±7.41)mmHg and heart rate (78.24±6.30)times/min in the observation group were compared with those in the control group (103.84±7.03)mmHg， (77.53±5.71)times/min， with significance (t=0.471， 0.590， P>0.05). The spontaneous breathing recovery time (7.14±1.37)min， blink time (9.85±2.31)min， and extubation time (20.57±2.94)min were shorter in the observation group than in the control group，the difference was statistically significant(t=4.877， 4.811， 5.472， P<0.05). The total incidence of adverse reactions (2%) was lower than 14% of the control group，the difference was statistically significant(χ2=4.891， P<0.05)， and the MMSE score (23.95±2.13)points and MoCA score (21.60±2.81)points of the observation group after surgery， higher than the control group，the difference was statistically significant(t=8.601， 5.126， P<0.05). Conclusion In the laparoscopic cholecystectomy， general anesthesia with laryngeal mask ventilation is selected， and the anesthetic effect is good. It can also accelerate the recovery of patients after surgery and reduce adverse reactions., http://www.100md.com(徐薇 徐以峰)
[关键词] 胆结石；腹腔镜胆囊切除术；喉罩通气全身麻醉；气管插管全身麻醉
[中图分类号] R737 [文献标识码] A [文章编号] 1674-0742(2019)03(b)-0102-04
[Abstract] Objective To investigate the value of general anesthesia for laryngeal mask ventilation in laparoscopic cholelithectomy. Methods 100 patients with gallstones who underwent laparoscopic cholecystectomy in our hospital (January 2017 to July 2018) were randomly divided into 2 groups. The control group was selected for general anesthesia with tracheal intubation， and the observation group was selected for laryngeal mask general anesthesia， and the anesthesia completion time， anesthesia onset time， anesthesia effect， hemodynamic parameters， postoperative anesthesia recovery， adverse reaction rate， and cognitive function index were compared between the two groups. Results The excellent anesthesia rate of the observation group and the control group were 96% and 98%， respectively. There was no significant difference (χ2=0.344， P>0.05)， but the anesthesia completion time of the observation group (4.51±1.08)min， anesthesia effect time (3.34±1.17)min was shorter than that of the control group (t=5.117， 5.523， P<0.05). After anesthesia， the mean arterial pressure (103.16±7.41)mmHg and heart rate (78.24±6.30)times/min in the observation group were compared with those in the control group (103.84±7.03)mmHg， (77.53±5.71)times/min， with significance (t=0.471， 0.590， P>0.05). The spontaneous breathing recovery time (7.14±1.37)min， blink time (9.85±2.31)min， and extubation time (20.57±2.94)min were shorter in the observation group than in the control group，the difference was statistically significant(t=4.877， 4.811， 5.472， P<0.05). The total incidence of adverse reactions (2%) was lower than 14% of the control group，the difference was statistically significant(χ2=4.891， P<0.05)， and the MMSE score (23.95±2.13)points and MoCA score (21.60±2.81)points of the observation group after surgery， higher than the control group，the difference was statistically significant(t=8.601， 5.126， P<0.05). Conclusion In the laparoscopic cholecystectomy， general anesthesia with laryngeal mask ventilation is selected， and the anesthetic effect is good. It can also accelerate the recovery of patients after surgery and reduce adverse reactions., http://www.100md.com(徐薇 徐以峰)