食管引流型喉罩和气管插管在老年高血压患者腹腔镜胆囊切除术的应用体会

Application experience of esophageal drainage type laryngeal mask and trachea cannula in laparoscopic cholecystectomy of elderly patients with hypertension

目的:观察食管引流型喉罩和气管插管在老年高血压患者腹腔镜胆囊切除术的应用情况。方法:2012年1月-2013年1月收治老年高血压患者80例,行择期腹腔镜胆囊摘除术,按随机数字表法分为两组,各40例。对照组予气管插管麻醉,观察组予食管引流型喉罩麻醉。比较两组不同时间段血液动力学指标变化情况及围手术指标情况。结果:观察组HR、DBP指标在插管/喉罩时、拔管/喉罩前、拔管/喉罩时均低于对照组,且SPB于插管/喉罩时低于对照组,差异具统计学意义(P<0.05)。结论:食管引流型喉罩麻醉在老年高血压患者行腹腔镜胆囊切除术中的应用效果较气管插管甚佳。

Objective:To observe the application situation of esophageal drainage type laryngeal mask and trachea cannula in laparoscopic cholecystectomy of elderly patients with hypertension.Methods:80 elderly patients with hypertension were selected from January 2012 to January 2013.They were treated with laparoscopic cholecystectomy electively.They were randomly divided into two groups with 40 cases in each.The control group were treated with tracheal intubation anesthesia.The observation group were treated with esophageal drainage type laryngeal mask anesthesia.The hemodynamic index changes in different times and perioperative indicators of patients of two groups were compared.Results:HR,DBP index in the intubation/laryngeal mask,before extubation/laryngeal mask,in extubation/laryngeal mask of the observation group were lower than those of the control group.SPB in the intubation/laryngeal mask was lower than that of the control group.The difference was statistically significant(P0.05).Conclusion:The esophageal drainage type laryngeal mask anesthesia in laparoscopic cholecystectomy of elderly patients with hypertension has better application effect than the trachea cannula.