第三代喉罩在腹腔镜保胆取石术麻醉中的应用

Clinical application of proseal laryngead mask airway under general anesthesia during laparoscopic cholecystolithotomy

目的:观察分析第三代喉罩(PLMA)在腹腔镜报道取石术麻醉中的应用效果。方法:收集接受腹腔镜保胆取石术的临床确诊患者病例,随即分为两组,每组40例,喉罩组(P组)患者手术采用插入第三代喉罩方法进行气道管理;气管插管组(T组)患者手术采用气管插管的方法进行气道管理。对两组患者的置管操作时间、一次性置管成功率、手术时间、术中和术后并发症情况、术中PETCO2以及置管及拔管前后的心率、平均动脉压的变化情况进行比较分析。结果:两组患者在置入喉罩或气管导管后HR、MAP都显著增高(P<0.05),且T组显著高于P组(P<0.05);T5时间点T组HR、MAP显著高于P组(P<0.05),喉罩组患者并发症例数显著少于气管插管组。结论:第三代喉罩运用于腹腔镜保胆取石术是安全有效的。

Objective To analyze the application effect of the third generation of the proseal laryngead mask airway（PLMA） under gen- eral anestheaia during laparoscopic cholecystolithotomy. Methods eighty patients who were diagnosed and treated by laparoscopic cholecys- tolithotomy were randomly and equally assigned to the PLMA group and the endotracheal intubation （ETr）group. Comparing the insertion time, successful rate, operation time,intraoperative PETCO2 , HR before and after anesthesia as well as MAP between these two groups. Re- suits Both MAP and HR in each group were significant higher after the placement of Laryngeal mask or endotracheal tube （ P 〈 0.05 ）, and T group, especially in the T5 point, was significant higher than P group （P 〈 0. 05 ）. Patients with complications in the P group were signifi- cantly less than in the T intubation group. Conclusion the third generation of the PLMA under general anesthesia can he safely used daring laparoscopic cholecvstolithotomv.