喉罩和气管插管全麻用于腹腔镜胆囊手术的比较

Comparison of laryngeal mask airway Supreme and tracheal intubation in patients undergoing laparoscopic cholecystectomy

目的比较喉罩和气管插管全麻用于腹腔镜胆囊手术的临床效果。方法 80例ASA为Ⅰ~Ⅱ级、血压正常的择期全麻腹腔镜胆囊手术患者,随机分为喉罩组和气管导管组,每组各40例。观察插管（喉罩）前后血压、心率的变化以及术后咽喉疼痛情况。结果气管插管组导管插入后的血压、心率均较插入前明显升高,喉罩组则没有明显变化。气管插管组咽痛等并发症的发生率明显高于喉罩组。结论喉罩全麻用于腹腔镜胆囊切除术简单易行,比气管插管全麻具有心血管功能更稳定的优点。

Objective To compare the clinical effects of laryngeal mask airway supreme（LMA Supreme） and endotracheal intubation in patients undergoing laparoscopic cholecystectomy（LC）.Methods Eighty patients with ASA grade Ⅰ-Ⅱ and normal blood pressure undergoing elective LC were randomly allocated to two groups： laryngeal masks group and tracheal tube group.The hemodynamic changes of two groups were recorded before anesthesia and after induction.The complications and adverse reactions of anesthesia were also recorded.Results A statistically significant rise in heart rate and blood pressure was seen in tracheal tube group,and there was no significant change in laryngeal masks group.The occurrence of postoperative sore throat was obviously lower in laryngeal masks group.Conclusion Laryngeal mask airway is an acceptable alternative technique for LC,offering advantages in terms of cardiovascular stability compared to tracheal intubation.