声门上喷射通气对老年患者全麻下行短小妇科手术血流动力学的影响及安全性分析

Effect of Supraglottic Jet Ventilation on Hemodynamics and Safety Analysis of Short Gynecological Surgery in Elderly Patients under General Anesthesia

目的:探究声门上喷射通气在老年患者全麻条件下行短小妇科手术中的应用。方法:选择2020年1月-2021年1月于沈阳市第四人民医院接受全麻条件下短小妇科手术的60例患者为研究对象,按照术中通气方式的差异将其分为研究组30例和对照组30例。研究组使用声门上喷射通气,对照组采用改良喉罩通气。比较两组患者入室后(T_(0))、麻醉诱导后(T_(1))、置管即刻(T_(2))、术毕即刻(T_(3))、苏醒时(T_(4))的平均动脉压(MAP)、心率(HR)、血氧饱和度(SpO_(2))、呼气末二氧化碳分压(ETCO_(2)),比较两组患者围术期各类不良事件的发生情况。结果:T_(2)、T_(3),研究组MAP、HR、SpO_(2)均高于对照组,ETCO_(2)均低于对照组(P<0.05)。研究组不良事件发生率为0,对照组不良事件发生率为10.00%,两组比较,差异无统计学意义(P>0.05)。结论:对全麻条件下行短小妇科手术的老年患者应用声门上喷射通气方式可行性较高,能够显著稳定患者围术期血流动力学指标,同时还有助于降低术后并发症发生率。

Objective:To explore the application of supraglottic jet ventilation in the elderly patients with short gynecological surgery under general anesthesia;Method:A total of 60 elderly patients who received short gynecological surgery under general anesthesia in Shenyang Fourth People’s Hospital from January 2020 to January 2021 were selected as the research subjects,according to the difference of intraoperative ventilation,they were divided into the study group of 30 cases and the control group of 30 cases.The study group received supragmattic jet ventilation,while the control group received modified laryngeal mask ventilation.The mean arterial pressure(MAP),heart rate(HR),blood oxygen saturation(SpO_(2))and end expiratory carbon dioxide partial pressure(ETCO_(2))were compared between the two groups after entering the room(T_(0)),after anesthesia induction(T_(1)),immediately after catheterization(T_(2)),immediately after operation(T_(3))and when waking up(T_(4)),and the occurrence of various adverse events during the perioperative period were compared between the two groups.Result:In T_(2) and T_(3),MAP,HR,SpO_(2) in the study group were higher than those in the control group,and ETCO_(2) were lower than those in the control group(P<0.05).The incidence of adverse events was 0 in the study group and 10.00%in the control group,there was no significant difference between the two groups(P>0.05).Conclusion:The application of supraglottic jet ventilation to elderly patients undergoing short gynecological surgery under general anesthesia is highly feasible,which can significantly stabilize the patients’perioperative hemodynamic indicators,and also help to reduce the incidence of postoperative complications.