喉罩全麻和气管插管全麻在腹腔镜胆囊手术中的应用效果比较

Comparison of the Application Effects of Laryngeal Mask General Anesthesia and Tracheal Intubation General Anesthesia in Laparoscopic Cholecystectomy

目的分析腹腔镜胆囊手术采用喉罩全麻与气管插管全麻方案的应用效果。方法选取2022年3月—2023年11月相城人民医院接受腹腔镜胆囊手术治疗的94例患者为研究对象,以麻醉方案的不同分为两组。对照组(47例)采取气管插管全麻方案,观察组(47例)采取喉罩全麻方案。比较两组麻醉效果、不同时间节点体征指标及不良反应总发生率。结果观察组麻醉起效时间、达到外科麻醉状态所用时间均短于对照组,差异有统计学意义(P均<0.05)。麻醉后20 min、手术结束时,观察组心率、收缩压、舒张压波动幅度均小于对照组,差异有统计学意义(P均<0.05)。观察组不良反应总发生率为2.13%(1/47),低于对照组的19.15%(9/47),差异有统计学意义(χ^(2)=7.162,P<0.05)。结论临床开展腹腔镜胆囊手术时,可首选喉罩全麻方案,其相较气管插管全麻效果更理想,且不会对患者造成伤害,不良反应少。

Objective To analyze the application effect of laryngeal mask general anesthesia and tracheal intubation general anesthesia in laparoscopic cholecystectomy.Methods A total of 94 patients who underwent laparoscopic cholecystectomy in Xiangcheng People's Hospital from March 2022 to November 2023 were se⁃lected as the study subjects.They were divided into two groups according to different anesthesia schemes.The control group(47 cases)was treated with tracheal intubation general anesthesia,and the observation group(47 cases)was treated with laryngeal mask general anesthesia.The anesthetic effect,the signs of different time node and the total incidence of adverse reactions were compared between the two groups.Results The time of onset of anesthesia,the time of reaching the state of surgical anesthesia in the observation group were shorter than those in the control group,and the differences were statistically significant(both P<0.05).At 20 min after anesthesia and at the end of operation,the fluctuation ranges of heart rate,systolic blood pressure and diastolic blood pres⁃sure in the observation group were smaller than those in the control group,and the differences were statistically significant(all P<0.05).The total incidence of adverse reactions in the observation group was 2.13%(1/47),which was lower than 19.15%(9/47)in the control group,and the difference was statistically significant(χ^(2)=7.162,P<0.05).Conclusion In clinical laparoscopic cholecystectomy,laryngeal mask general anesthesia can be the first choice.Compared with tracheal intubation general anesthesia,it is more effective,does not cause harm to patients,and has fewer adverse reactions.