喉罩；正压通气;_腹腔镜胆囊切除术_

全麻下喉罩在腹腔镜胆囊切除术中对正压通气的影响

http://www.100md.com 《新疆医科大学学报》(新) 2006年第10期

喉罩；正压通气;,腹腔镜胆囊切除术,,喉罩；正压通气;,腹腔镜胆囊切除术,1资料与方法,2结果,3讨论,参考文献：

     摘要: 目的：观察全麻下喉罩在腹腔镜胆囊切除术中对正压通气的影响。方法：择期腹腔镜胆囊切除手术病人60例，ASAⅠ~Ⅱ级，随机分为喉罩组(Ⅰ组，30例)和气管插管组(Ⅱ组,30例)。于麻醉诱导前、诱导后、插管(罩)后1 min、气腹后5 min、拔管(罩)后1 min，监测并记录心率(HR)、平均动脉压(MAP)、气道峰压(Pmax)、气道平均压(Pmean)、脉搏血氧饱和度(SPO2)、呼气末二氧化碳分压(PETCO2)的数值，观察插管(罩)期、拔管(罩)期、术后24 h咽痛及声嘶的发生率。结果：(1)插管(罩)期和拔管(罩)期Ⅱ组HR、MAP明显升高(P<0.05)，Ⅰ组无明显变化(P>0.05)。(2)2组PETCO2、Pmax、Pmean随麻醉、气腹的影响变化是一致的，组间比较各时间点差异无统计学意义(P>0.05)，2组SPO2均一直保持稳定。(3)Ⅱ组术后24 h咽痛、声嘶发生率均明显高于Ⅰ组(P<0.05)。结论: 腹腔镜胆囊切除手术中喉罩可以达到与气管插管一样满意的通气效果。

    关键词：喉罩；正压通气; 腹腔镜胆囊切除术

    The effects of using laryngeal mask airway under general anesthesia on positive pressure ventilation during celioscope cholecystectomy

    REN Xinyuan, HE Junyi, FAN Suxiong, et al

    (Department of Anesthesiology, Sixth Agricultural Division′s Hospital, Wujiaqu Xinjiang, 831300, Chnia)

    Abstract: Objective： To evaluate the effects of using laryngeal mask airway(LMA) under general anesthesia on positive pressure ventilation during celioscopic cholecystectomy. Methods: Sixty ASA ⅠⅡ patients undergoing elective celioscope cholecystectomy were randomized into two groups: the laryngeal mask airway group (group Ⅰ, n=30) and the tracheal intubation group (group Ⅱ, n=30). We recorded the values of heart rate (HR), mean arterial blood pressure (MAP), maximal pressure of tracheal (Pmax), mean pressure of tracheal (Pmean), SPO2, and pressure of endtidal CO2 (PETCO2)at before and after induction anesthesia, after insert tracheal tube or LMA 1 min ......

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