喉罩全麻在经尿道钬激光碎石术中应用

Application of Laryngeal Mask Anesthesia in Transurethral Holmium Laser Lithotripsy

目的探讨喉罩全麻在经尿道输尿管镜钬激光碎石术中的应用效果。方法选取患泌尿系结石行经尿道钬激光碎石术的患者60例,平均分为喉罩全麻组(A组)和气管插管全麻组(B组)各30例。分别对患者手术开始5分钟时、手术结束后5分钟的MAP和HR及苏醒时间、呼吸恢复时间等进行观察记录。结果与B组患者相比,A组患者MAP和HR的变化较小,且A组患者苏醒时间、呼吸恢复时间、置管时间、拔管时间等显著短于B组患者,两组差异具有统计学意义(P<0.05)。结论经尿道钬激光碎石术中应用喉罩全麻,对患者血流动力学的干扰程度较小,且患者苏醒时间较短,麻醉效果安全可靠,值得推广及应用。

Objective To study the effect of laryngeal mask anesthesia in transurethral holmium laser litho- tripsy. Methods Sixty patients with urinary calculi by transurethral holmium laser lithotripsy were divided into laryngeal mask anesthesia group （A group） and general anesthesia group （B）, each group with 30 pa- tients. MAP, HR and revive time, respiratory recovery time were observed and recorded in surgery begins 5 minutes, 5 minutes after the end of surgery. Results Compared with group B, MAP and HR in group A have small changes, and recovery time, respiratory recovery time, catheter time, tube drawing time have sig- nificantly shorter than group B, there was a statistical difference （P 〈 0.05 ）. Conclusion Application of laryngeal mask anesthesia in transurethral holmium laser lithotripsy, hemodynamic disturbances on a lesser extent, the recovery time is shorter, anesthetic effect is safe and reliable. It is worth of popularization and application.