喉罩通气麻醉在脑动脉瘤介入手术中的应用  

Application of laryngeal mask airway anesthesia in cerebral aneurysms intervention surgery

作　　者：程爵毅 周建华 

机构地区：[1]江西省景德镇市第一人民医院麻醉科,江西景德镇333000

出　　处：《中国当代医药》2014年第29期80-82,共3页China Modern Medicine

摘　　要：目的 探讨喉罩通气麻醉在脑动脉瘤介入手术中的应用效果.方法 选取本院2012年4月～2013年4月在神经外科实施介入手术的38例脑动脉瘤患者作为研究对象,随机分作试验组和对照组,各19例.试验组术中给予喉罩通气麻醉,对照组术中给予气管插管通气麻醉.比较两组的瑞芬太尼与丙泊酚所用剂量、不同时段体征指标及麻醉不良反应.结果 试验组所用麻醉药物瑞芬太尼、丙泊酚的剂量显著少于对照组,术后苏醒时间较对照组短,差异有统计学意义（P＜0.05）;试验组的HR、MAP、SpO2指标在T1、T2、T3时段的比较,差异无统计学意义（P＞0.05）,对照组的HR、SpO2、MAP指标在T3时段与T1、T2时段比较,差异有统计学意义（P＜0.05）,两组的HR、SpO2、MAP指标在T3时段的比较,差异有统计学意义（P＜0.05）.拔管后,试验组的躁动、咽痛、呛咳等发生率较低,与对照组比较,差异有统计学意义（P＜0.05）.结论 喉罩通气麻醉在脑动脉瘤介入术中效果安全可靠,麻醉药物用量少、患者体征平稳、麻醉不良反应率低.Objective To explore application effect of laryngeal mask airway anesthesia in cerebral aneurysms intervention surgery. Methods 38 cases with cerebral aneurysms implemented interventional procedures of neurosurgery in our hospital from April 2012 to April 2013 were selected and randomly divided into experimental group and control group, 19 eases in each group.The experimental group were given intraoperative laryngeal mask airway anesthesia,and the control group were given endotracheal intubation ventilation anesthesia. The dose of Remifentanil and propofol,index of symptom in different periods and adverse reactions of anesthetic in the two groups were compared. Results Dose of remifentanil and propofol in experimental group was significantly less than that of control group （P〈0.05）,postoperative recovery time in experimental group was shorter than that of the control group （P〈0.05）.Index of HR,MAP, SpO2 of experimental group in the T1,T2 and T3 period was compared respectively,with no statistical difference （P〉0.05）,index of HR,MAP, SpO2 of control group in the T1 and T2 period was compared with that in the T3 period,with statistical difference （/9〈0.05）. There was statistical difference in index of HR,MAP,SpO2 in the T3 period between two groups respeetively（P〈0.05）.After extubation,the occurrence rate of restlessness,sore throat,cough in experimental group were lower than that in the control group,with significant difference（P〈0.05）. Conclusion Effect of laryngeal mask airway in cerebral aneurysms anesthesia is safe and reliable,dose of anesthesia drugs is less,signs of patient are stable,and rate of adverse reaction is low.

关 键 词：插管法 气管内 颅内动脉瘤 麻醉 喉罩 

分 类 号：R739.41[医药卫生—肿瘤]