摘要
目的探讨喉罩全麻与气管插管麻醉在异位妊娠腹腔镜手术治疗中的麻醉效果。方法研究时间为2018年3月至2020年3月,随机抽取到某二级医院麻醉科进行诊治的360例异位妊娠行腹腔镜手术的患者,分为参照组和研究组,各180例。参照组选择气管插管麻醉,研究组应用喉罩全身麻醉,分析讨论两组的麻醉效果。结果诱导前、喉罩全麻或气管插管麻醉前等心率和平均动脉压变化相对不明显的一组是研究组,其出现腹胀、咽喉不适等概率更低的一组也是研究组,P<0.05,有统计学意义。观察组和对照组的PetCO2、PAW血流动力学指标比较均是气腹后高于气腹前,差异有统计学意义(P<0.05)。结论喉罩全身麻醉相较于气管插管麻醉更具有安全性和可靠性,其麻醉效果也更加显著。
Objective To investigate the anesthesia effect of general anesthesia with laryngeal mask and tracheal intubation anesthesia in laparoscopic surgery for ectopic pregnancy.Methods The study period was from March 2018 to March 2020,and 360 patients with ectopic pregnancy who underwent laparoscopic surgery were randomly selected from a department of anesthesia in a secondary hospital for diagnosis and treatment.They were divided into reference group and study group,each with 180 patients.The intubation anesthesia was selected in the reference group,and the study group applied general anesthesia with a laryngeal mask to analyze and discuss the anesthesia effect of the two groups.Results Before induction,laryngeal mask anesthesia or tracheal intubation anesthesia,the changes of isoheart rate and mean arterial pressure were relatively insignificant in the study group,and the group with lower probability of abdominal distention and throat discomfort was also the study group,P<0.05,with statistical significance.The comparison of the hemodynamic indicators of PetCO2 and PAW in the observation group were both after pneumoperitoneum and before pneumoperitoneum,and the difference was statistically significant (P<0.05).Conclusion Compared with tracheal intubation anesthesia,laryngeal mask general anesthesia is more safe and reliable,and its anesthesia effect is more significant.
作者
孙同旺
SUN Tong-wang(Hulunbuir Mary Maternity Hospital,Hulunbuir,Inner Mongolia 021000)
出处
《智慧健康》
2020年第23期68-70,共3页
Smart Healthcare
关键词
异位妊娠腹腔镜手术
喉罩全麻
气管插管麻醉
Laparoscopic surgery for ectopic pregnancy
General anesthesia with laryngeal mask
Tracheal intubation anesthesia
