喉罩通气全麻与气管插管全麻在临床麻醉中的比较

Comparison of laryngeal mask airway general anesthesia and endotracheal intubation anesthesia in clinical anesthesia

目的:研究喉罩通气全麻与气管插管全麻在临床麻醉中的比较.方法:选取了2014-01/2014-12入院进行手术的患儿90例,通过随机分组的方式将其分为观察组(n=45)和对照组(n=45).其中对照组使用气管插管全麻,观察组使用喉罩通气全麻.比较分析两组患儿的麻醉控制点血流动力、平均动脉压和并发症状况.结果:两组患儿在麻醉诱导前、气管插管或者喉罩置入前的血流动力、平均动脉压等比较,差异无统计学意义(P>0.05).对照组气管插管或者喉罩置入后、拔除气管插管或者喉罩时血流动力、平均动脉压明显高于观察组,差异具有统计学意义(P<0.05).观察组出现并发症的几率明显低于对照组,差异具有统计学意义(P<0.05).结论:喉罩通气全麻苏醒时间比气管插管全麻苏醒时间更短,血流动力学更加稳定,操作更简单,值得在临床应用中进一步推广.

AIM： To compare the laryngeal mask airway general anesthesia and endotracheal intubation anesthesia in clinical anesthesia. METHODS： A total of 90 cases of children admitted into hospital from January 2014 to December 2014 were randomly divided into observation group and control group,with 45 cases in each group. The control group performed endotracheal intubation general anesthesia,while the observation group received laryngeal mask airway general anesthesia. The anesthesia control point of blood flow,average arterial pressure and complications of two groups were compared and analyzed. RESULTS： The blood flow and the average arterial pressure before the anesthesia induction,tracheal intubation or laryngeal mask airway performed between two groups were compared,and the difference was not significant（ P〉 0. 05）. In the control group,the blood flow dynamics and mean arterial pressure were significantly higher than those in the observation group,and the average arterial pressure was significantly higher than that in the observation group,and the difference between the two groups was statistically significant（ P〈0. 05）. The probability of complications in the observation group was significantly lower than that in the control group,the difference was statistically significant（ P〈 0. 05）. CONCLUSION：The recovery time of laryngeal mask airway anesthesia is shorter than that of endotracheal intubation under general anesthesia. The hemodynamics is more stable,and the operation is more simple,which is worth to be popularized in clinical application.