喉罩全麻与连续硬膜外麻醉在气压弹道碎石术的比较

Laryngeal Mask Anesthesia and Continuous Epidural Anesthesia in Pneumatic Ballistic Lithotripsy Comparison

目的探讨经喉罩吸入七氟醚在气压弹道碎石术中的应用的可行性。方法选择行输尿管镜下气压弹道碎石术的患者66例,将所有患者随机分为A组(喉罩组)和B组(连续硬膜外组),每组33例。记录术中出现低血压的例数、收缩压(SBP)、心率(BP)以及术后满意度。结果 A组HR、SBP均波动很小,而B组HR、SBP,差异有统计学意义(P<0.05)。麻醉效果优良率A组优于B组,差异有统计学意义(P<0.05)。结论喉罩通气吸入七氟醚全麻行输尿管镜下气压弹道碎石术,麻醉效果确切,并发症少,手术的安全性和舒适性较连续硬膜外麻醉更好。

Objective To investigate sevoflurane inhalation feasibility of pneumatic lithotripsy through the laryngeal mask. The se- lect line ureteroscopic pneumatic lithotripsy patients 66 cases, all patients were randomly divided into group A （LMA group） and group B （continuous epidural group）, 33 cases in each group. The number of cases recorded intraoperative hypotension, systolic blood pressure （SBP） and heart rate （bp） and postoperative satisfaction. The results of group A, HR, SBP fluctuations is very small, group B, HR, SBP were significant differences（P〈0.05）. Excellent anesthetic effect rate in group A than in group B（P〈0.05）. Con- clusion laryngeal mask airway inhalation the sevoflurane anesthesia line ureteroscopic pneumatic lithotripsy, anesthetic effect ex- actly, fewer complications, the safety and comfort of the surgery compared with eontinuous epidural anesthesia better.