预氧无正压通气在悬吊式腹腔镜胆囊切除术中的应用  

Application of preoxygenation without positive-pressure ventilation in the suspended laparoscopic cholecystectomy

作　　者：王文明[1] 郭茂[1] 

机构地区：[1]泸州市人民医院,四川泸州646000

出　　处：《腹腔镜外科杂志》2011年第2期123-124,共2页Journal of Laparoscopic Surgery

摘　　要：目的:探讨预氧无正压通气在悬吊式腹腔镜胆囊切除术全麻快速诱导及术中的应用。方法:随机将40例行择期悬吊式腹腔镜胆囊切除术的患者分为A组(预氧组)和B组(常规诱导组),每组20例,记录诱导前及插管后血氧饱和度(SpO2)、心率(heart rate,HR)、血压(blood pressure,BP)、心电图(electrocardiogram,ECG)及插管时间、胃管使用率。结果:两组患者一般情况、插管前后HR、BP及插管时间差异无统计学意义。A组SpO2轻度下降,但在安全范围内。B组胃管使用率明显增加。结论:预氧无正压通气用于悬吊式腹腔镜胆囊切除术是安全的,同时减少了胃管的使用。Objective：To investigate the application of preoxygenation without positive-pressure ventilation during rapid sequence induction of anesthesia and operation in suspended laparoscopic choleeystectomy. Methods：Forty patients who were scheduled for elective suspended laparoscopic cholecystectomy were randomly divided into two groups ： preoxygenation group （ group A, n = 20 ） and conventional induction group （ group B, n = 20） , SpO2, heart rate （HR） , blood pressure （BP） and electrocardiogram （ECG） were monitored before induction and after intubation. Trachea intubation time and stomach tube utilization ratio were recorded. Results：There was no significant difference between 2 groups in general situation, HR, BP before and after intubation, and trachea intubation time. SpO2 dropped slightly after trachea intubation in group A, but it was still safe. Stomach tube utilization ratio obviously increased in group B. Conclusions：Application of preoxygenation without positive-pressure ventilation in suspended laparoscopic cholecystectomy is safe, and reduces the utilization rate of stomach tube.

关 键 词：预氧 胆囊切除术 腹腔镜 悬吊 

分 类 号：R657.4[医药卫生—外科学]