喉罩全麻胸腔镜手术患者的临床研究

Clinical Study of Laryngeal Mask Airway Anesthesia in Thoracoscopic Surgery

目的:分析喉罩全麻在胸腔镜手术中的应用效果。方法:观察对象为本院在2018年4月~2019年7月收治的80例胸腔镜手术患者,按照随机数字表法将其分为观察组(40例)与对照组(40例),分别实施喉罩全麻和气管插管全麻,就其麻醉效果进行比较。结果:观察组患者麻醉起效时间、术后清醒时间、术后进食时间、术后引流时间较对照组更短,麻醉评分较对照组更低,声嘶(5.0%)、咽部不适(7.5%)、胃肠道反应(7.5%)发生率较对照组(分别为40.0%、35.0%、32.5%)更低,麻醉满意度(95.0%)较对照组(75.0%)更高,两组相比P<0.05。结论:对胸腔镜手术患者实施喉罩全麻可取得较好的麻醉效果,且不良反应较少,患者认可度高。

Objective:To analyze the application effect of laryngeal mask anesthesia in thoracoscopic surgery.Methods:The test samples were 80 patients with thoracoscopic surgery admitted to our hospital from April 2018 to July 2019.According to the random number table method,they were divided into analysis group(40 cases)and control group(40 cases).Laryngeal mask general anesthesia and tracheal intubation general anesthesia were implemented respectively,and their anesthesia effects were compared.Results:The onset time of anesthesia,postoperative awake time,postoperative eating time and postoperative drainage time in the analysis group were shorter than those in the control group,the anesthesia score was lower than that in the control group,the incidence of hoarseness(5.0%),pharyngeal discomfort(7.5%)and gastrointestinal reaction(7.5%)were lower than those in the control group(40.0%,35.0%and 32.5%,respectively),the anesthesia satisfaction degree(95.0%)was higher than that in the control group(75.0%),and the two groups were compared with P<0.05.Conclusion:Laryngeal mask anesthesia for thoracoscopic surgery patients can achieve better anesthesia effect,with fewer adverse reactions and high patient acceptance.