喉罩通气在颅内动脉瘤介入栓塞术麻醉中的应用

Application of laryngeal mask airway anesthesia in interventional embolization of intracranial aneurysms

目的分析喉罩通气在颅内动脉瘤介入栓塞术麻醉中的应用效果。方法在该院2015年2月到2017年1月选择160例接受诊治的颅内动脉瘤患者作为本次研究的患者对象，将其按照数字数字法分为实验组与常规组。常规组采用气管插管麻醉，实验组采用喉罩全身麻醉。对比两组患者的麻醉状况以及身体各项指标。结果实验组患者在苏醒时间、丙泊酚使用量以及瑞芬太尼使用量等方面显著优于常规组，数据差异显著，具备统计学意义（P〈0．05）；在插管（罩）时与拔管（罩）时，实验组患者的MAP与HR均显著优于常规组，差异有统计学意义（P〈O．05）。结论喉罩通气在颅内动脉瘤介入栓塞术麻醉中的应用效果显著，可以显著改善患者的机体功能，具备稳定、苏醒快、血流动力学稳定、麻醉用量少等优势，值得临床推广。

Objective to analyze the effect of laryngeal mask airway ventilation in the interventional embolization of intracranial aneurysms. Methods In our hospital from February 2015 to January 2017,160 patients with intracranial aneurysms were selected as the subjects of this study. They were divided into the experimental group and the conventional group according to the digital method. The routine group was treated with tracheal intubation anesthesia. Compare the two groups of patients with anesthesia and physical indicators. Results Patients in the experimental group and the dosage of remifentanil used in recovery time,propofol was significantly better than the conventional group, significantly different, with statistical significance（P〈0.05） ;in the intubation and extubation time （cover） （cover）, MAP and HR in the experimental group were significantly better than the conventional group, sig- nificant difference,have statistical significance（P〈0.05）. Conclusion Laryngeal mask airway in intracranial aneurysm interven- tional embolization in the anesthesia effect significantly,can significantly improve the body function of patients with stable, fast re- covery, stable hemodynamics,anesthesia and less amount of advantages,is worthy of promotion.