经典喉罩在腹腔镜下行双侧输卵管结扎术中的应用

Application of classic laryngeal mask in the laparoscopic downward bilateral tubal ligation

目的:探讨经典喉罩在腹腔镜下行双侧输卵管结扎术中的应用。方法:收治腹腔镜下行双侧输卵管结扎术的患者80例,将所有患者随机均分为两组:气管导管组(T组)和传统喉罩组(L组)。结果:在T组中,T3、T4时SBP、DBP、HR明显高于T2时;与L组相比,T组的T3、T4时SBP、DBP明显升高,HR明显加快;两组的SPO2、PETCO2和PIP之间比较,差异无统计学意义;与T组相比,术毕L组安静拔管(罩)的例数明显增多,而出现并发症的例数明显减少。结论:喉罩全麻在腹腔镜下行双侧输卵管结扎术中的应用,既能保障充分的镇痛,良好的肌松,又对患者HR、BP、SPO2影响较轻,血液动力学平稳。有置入方便,术后并发症少等优点。

Objective:To investigate the application of classic laryngeal mask in the laparoscopic downward bilateral tubal ligation.Methods:80 patients with laparoscopic downward bilateral tubal ligation were selected.They wer randomly divided into the endotracheal tube group(T group)and the traditional laryngeal mask group(L group).Results:In T group,SBP,DBP,HR in T3,T4were significantly higher than that of T2; in T group,SBP,DBPin T3,T4were significantly higher than that of L group,the HR significantly increased faster too;there were no significant difference between the two groups of SPO2,PETCO2and PIP;the number of cases of quiet extubation(cover) in L group increased significantly higher than that of T group in the end of the surgery,and the number of cases of complications was significantly lower too.Conclusion:The application of laryngeal mask anesthesia in the laparoscopic downward bilateral tubal ligation have many advantages,such as it can ensure adequate analgesia,good muscle relaxation,the effect of HR,BP,SPO2in patients is light, hemodynamic stability,convenient implantation,fewer postoperative complications and so on.