喉罩通气下全麻用于宫外孕手术中的麻醉效果及可行性研究探讨

Anesthetic Effect of General Anesthesia with Laryngeal Mask Airway in Ectopic Pregnancy Surgery and Feasibility Study

目的探究宫外孕手术中应用喉罩通气下全麻的效果。方法本次实验对象全部选择2017年4月至2019年2月在本院进行治疗的48例宫外孕患者,按照不同的通气模式分成两组,即实验组(n=24)与对照组(n=24),开展气管插管全麻的患者为对照组,开展喉罩通气下全麻的患者为实验组,分析对比两种通气方式对患者产生的影响。结果在舒张压、收缩压以及心率上,实验组在术前、置入喉罩后/插管后和对照组相比,差异无统计学意义(P> 0.05),两组在去除喉罩和拔管前对比差异较显,有统计学意义(P <0.05)。在并发症总发生率上,实验组少于对照组(20.83%<50.00%),差异有统计学意义(P <0.05)。实验组在麻醉恢复时间和拔管时间上,少于对照组,差异有统计学意义(P <0.05)。结论宫外孕手术中应用喉罩通气下全麻的效果优于气管插管全麻,能够有效减少对患者血流动力学的影响,并预防并发症,同时还可以明显缩减麻醉恢复时间和拔管时间。

Objective To explore the effect of general anesthesia with laryngeal mask airway in ectopic pregnancy surgery. Methods 48 ectopic pregnancy patients treated in our hospital from April 2017 to February 2019 were selected and divided into two groups according to different ventilation modes, experimental group(n=24) and control group(n=24), patients undergoing tracheal intubation general anesthesia were selected as control group, patients undergoing laryngeal mask airway general anesthesia were selected as experimental group, and the effects of the two ventilation modes on patients were analyzed and compared. Results There was no significant difference in diastolic pressure, systolic pressure and heart rate between the experimental group and the control group before and after laryngeal mask insertion/intubation(P>0.05). the difference between the two groups was significant before laryngeal mask removal and extubation(P<0.05). The total incidence rate of Complication(medicine) in the experimental group was less than that in the control group(20.83%<50.00%), and the difference was statistically significant(P<0.05). The anesthesia recovery time and extubation time of the experimental group were less than those of the control group, the difference was statistically significant(P<0.05). Conclusion The effect of general anesthesia with laryngeal mask airway is better than general anesthesia with tracheal intubation in ectopic pregnancy surgery. It can effectively reduce the influence on hemodynamics of patients, prevent Complication(medicine), and obviously reduce anesthesia recovery time and extubation time.