喉罩复合无肌松技术在老年患者股骨头置换术中的应用研究

Advantage analysis of Laryngeal mask combined with non-muscle relaxant technology for elderly patients with femoral head replacement

目的探讨喉罩复合无肌松麻醉方法在老年患者股骨头置换术中的临床价值。方法该院2013年3月至2014年5月行股骨头置换手术的老年患者共50例,随机将其分为试验组和对照组各25例。试验组患者给予喉罩复合无肌松麻醉方法,对照组给予常规麻醉方法,比较2组患者各时间的心率(HR)、平均血压(MAP)和氧饱和度(SPO2),临床效果及肌松效果、辅助麻醉用药,不良反应率。结果对照组患者各时间点的HR、MAP、SPO2比较,差异均有统计学意义(P<0.05),试验组差异均无统计学意义(P>0.05)。试验组患者的清醒时间、拔管时间和咽喉疼痛发生率显著低于对照组,差异均有统计学意义(P<0.05)。2组患者的手术时间比较,差异无统计学意义(P>0.05)。试验组患者的肌松效果满意率显著高于对照组,差异有统计学意义(P<0.05);试验组应用辅助麻醉药物的比例显著低于对照组,差异有统计学意义(P<0.05)。2组患者的不良反应率比较,差异无统计学意义(P>0.05)。结论喉罩复合无肌松技术应用于老年股骨头置换手术临床效果较好,且安全性高。

Objective To analyze the advantage of Laryngeal mask combined with non-muscle relaxant technology for elderly patients with Femoral head replacement. Methods A total of 50 consecutives from March 2013 to May 2014 for Femoral head replacement arriving at our hospital, They were divided randomly into experiment and control groups, and each of 25 cases. The patients in experiment group received Laryngeal mask combined with non-muscle relaxant technology, the patients in control group received common anesthesia method, then heart rate, Mean arterial pressure, Oxygen saturation at every times, clinical effect and muscle relaxation effect, assisted anesthesia drug, adverse reaction rate were compared in two groupsResults The HR,MAP and SPO2 at every times in control group were all significant differnces in different time（P〈 0.05） ,while there were sample in experiment group（P〉0.05）. The recovery time, extubation time and throat pain rate in experiment group were all significant less than control group （P〈0.05）, the operation time in two groups were no statistical difference （P〉0.05）. The satisfaction rate of muscle relaxation effect in experiment group was all significantly higher than that in control group （P〈0. 05） ,the application rate of assisted anesthesia drug in experiment group was all significantly lower than that in control group （P〈0.05）, the adverse reaction rate in two groups were no statistical difference （P〉 0. 05）. Conclusion Laryngeal mask combined with non-muscle relaxant technology for elderly patients with Femoral head re- placement was safe and effective.