喉罩全麻在颅内血管狭窄介入治疗中的应用

Laryngeal mask anesthesia in intracranial vascular stenosis interventional therapy

目的观察喉罩全麻在颅内血管狭窄介入治疗中的应用。方法 30例颅内血管狭窄介入治疗患者随机分为喉罩组(L组)和气管内插管组(T组)各15例。常规静脉诱导,均一次插管(罩)成功,观察插、拔管(罩)时的MAP和HR以及拔管(罩)期的呛咳和体动不良反应。结果两组患者在麻醉诱导前、置入气管导管(罩)前的MAP、HR均无显著差异(P>0.05)。诱导后两组患者MAP、HR均显著下降(P<0.01)。L组在喉罩插入前后和拔除喉罩前后MAP、HR均轻度上升,但无显著变化(P>0.05);T组在气管导管插入前后和苏醒拔管前后MAP、HR显著升高(P<0.01)。T组与L组呛咳(P<0.01)、体动(P<0.05)比较有统计学差异。结论喉罩全麻对颅内血管狭窄介入治疗术比气管插管全麻更平稳和安全。

Objective To apply of laryngeal mask anesthesia in the treatment of intracranial vascular stenosis intervention. Methods All 30 cases of intracranial vascular stenosis interventional treatment were randomly divided into the laryngeal mask group （Lgroup L） and the endotracheal intubation group （group T）, 15 cases in each group. Observed the MAP and HR when intubation and extubation （laryngeal mask）, as well as the adverse reaction such as cough and body movement . Results Before induction of anesthesia and endotracheal tube placement, there was no significant difference of MAP and HR between two group （P 〉 0.05）. After induction, the MAP and HR of two groups of patients decreased significantly （P 〈 0.01）. In the L group, the MAP and HR were increased slightly when laryngeal mask insertion and removal. But there were no significant difference （P 〉 0.05）; In group T, the MAP and HR significantly when before and after intubation and extuba tion （P 〈 0.01）. There was significant differen of cough and body movement between two groups. Conclusion Laryngeal mask anesthesia is more stable and secure than general anesthesia for intracranial vascular stenosis interventional therapy.