腹腔镜胆囊切除术中全身麻醉维持使用肌松剂与否的对比研究  

Comparative study of using muscle relaxant or not in patients undergoing laparoscopic cholecystectomy surgery with a tracheal intubation

作　　者：段霞光[1] 康于庆[1] 黄再青[1] 袁晓光[1] 

机构地区：[1]内蒙古包钢医院麻醉科,内蒙古包头014010

出　　处：《吉林医学》2013年第23期4657-4658,共2页Jilin Medical Journal

摘　　要：目的:观察并对比腹腔镜胆囊切除术术中患者使用肌松剂与否的效果。方法:选择择期腹腔镜胆囊切除术患者60例,随机分为两组(n=30):肌松剂组(MR组)和未使用肌松剂组(NMR组)。两组患者常规气管插管全身麻醉,MR组间断给予维库溴铵,NMR组诱导后再不给予肌松剂。分别记录插管后(T1)、气腹时(T2)、气腹后20 min(T3)、停气腹时(T4)的气道压,并记录苏醒时间。结果:两组患者各时点气道压对比差异无统计学意义(P>0.05);与MR组相比,NMR组的恢复时间明显缩短(P<0.01)。结论:不使用肌松剂可以提供满意的手术条件并能缩短恢复时间。Abstract： Objective To test the hypothesis that muscle relaxant is not necessary in patients who are undergoing laparoscopie eholecys- tectomy （LC） surgery with tracheal intubation. Methods 60 Patients were randomly assigned to two groups （ n = 30） to receive a muscle relaxant （ Group MR） or not （ Group NMR）. General anesthesia was used in patients of both groups for airway management with the tra- cheal intubation. Peak airway pressures of after tracheal intubation（ T~ ）, time of pneumoperitoneum（ T2 ） ,after pneumopefitoneum 20 mi- nutes（T3 ） , after stop pneumoperitoneum（T4 ） and recovery time were assessed. Results Tracheal intubation insertion was 100% success- ful. There was no difference in the peak of paw in two groups（ P 〉0. 05） . In group NMR, there was a statistically significant reduction in recovery tithe versus the group MR（ P 〈0. 01 ） . Conclusion Muscle relaxant is not necessary in general anesthesia with a tracheal in- tubation in patients who are undergoing laparoscopic cholecystectomy surgery.

关 键 词：腹腔镜胆囊切除术 气管插管 肌松剂 气道压 恢复时间 

分 类 号：R614[医药卫生—麻醉学]