探讨LMA喉罩应用在腹腔镜胆囊切除术中的临床有效性

To Investigate the Clinical Efficacy of LMA Laryngeal Mask Airway in Laparoscopic Cholecystectomy

目的分析探讨LMA喉罩应用在腹腔镜胆囊切除术中的临床有效性。方法选取在我院接受腹腔镜下胆囊切除术的90例患者,采用随机分组的方式将其分为44例对照组和46例观察组,对照组行气管插管通气,观察组行LMA喉罩通气。结果两组患者在T_0、T_1、T_2、T_3时的HR、MAP指标相比,观察组低于对照组(P<0.05);两组的并发症发生率相比,差异有统计学意义(P<0.05)。结论在腹腔镜胆囊切除术中行LMA喉罩通气,具有较好的通气效果和较高的安全性。

Objective To discuss clinical curative effect of phacoemulsification combined with intraocular lens implantation for secondary glaucoma due to intumescent cataract.Methods 36 intumescent cataract secondary glaucoma data were retrospective analysis from April 2014 to April 2015 in our hospital,36 eyes underwent phacoemulsification combined with intraocular lens implantation.After 3 to 12 months,the visual acuity,intraocular pressure and anterior chamber depth were observed.Results After surgery,35 eyes were completely controlled without any medication,and the IOP was reduced to normal after 1 eyes were treated with IOP lowering drugs.After 33 eyes,the visual acuity was improved in different degree after operation.The depth of anterior chamber was significantly increased in 36 patients after operation.Conclusion For the secondary glaucoma due to intumescent cataract,the phacoemulsification combined with intraocular lens implantation according to the control condition of intraocular pressure after medical treatment and combined with the course of disease can effectively control intraocular pressure and improve vision.