美迪斯插管型喉罩在腹腔镜胆囊手术中应用

The application of MEDIS intubating laryngeal mask in laparoscopic cholecystectomy

目的探讨美迪斯(MEDIS)插管型喉罩在腹腔镜胆囊手术中应用的可行性。方法选取2016年1—5月在沈阳市第四人民医院择期全身麻醉下行腹腔镜胆囊切除手术的122例患者作为研究对象。根据麻醉方式不同将患者随机分为MEDIS插管型喉罩组(M组)和UE可视喉镜下气管插管组(U组),每组各61例患者。观察并记录各组插管前后血流动力学变化、通气情况、苏醒情况以及术后并发症。结果 M组患者平均动脉压、各时间点心率、拔管时间、苏醒时间、术后1 d咽喉痛率以及下呼吸道感染率明显低于U组,两组比较,差异均有统计学意义(P<0.05)。结论腹腔镜胆囊手术中使用MEDIS插管型喉罩血流动力学平稳、苏醒快、术后咽喉痛以及下呼吸道感染发生率低。

Objective To investigate the feasibility of tracheal intubation in laparoscopic cholecystectomy with MEDIS intubating laryngeal mask airway（ ILMA）. Methods A retrospective study was performed on 122 cases of patients scheduled for elective laparoscpic cholecystectomy from January to May of 2016. According to different anesthesia methods,patients were randomly divided into the MEDIS ILMA group（ M group） and the UE Glidescope group（ U group）,with 61 cases in each group. The hemodynamic changes,ventilation,resuscitation and postoperative complications were observed and recorded before and after intubation. Results The mean arterial pressure,heart rate in different time points,extubation time,resuscitation time,throat pain rate and respiratory tract infection rate 1 day after operation in the M group were significantly lower than those in the U group（ P〈0. 05）. Conclusion The MEDIS intubating laryngeal mask airway has the advantages of stable hemodynamic,rapid recovery time,less complications of throat after opreration with lower postoperative throat pain and respiratory tract infection rates.