喉罩全麻在胸腔镜手术中的应用效果及护理  

Effect of laryngeal mask anesthesia in video-assisted thoracoscopic surgery and nursing strategies

作　　者：李梅[1] 董文[1] 蔡开灿[1] 蔡瑞君[1] 叶靖[1] 

机构地区：[1]南方医科大学南方医院,广东广州510515

出　　处：《现代临床护理》2017年第7期43-46,共4页Modern Clinical Nursing

基　　金：广东省教育科研"十二五规划"研究项目;项目编号为2012JK274

摘　　要：目的探讨喉罩全麻在胸腔镜手术中的应用效果及总结护理经验。方法将2014年4月-12月在本院住院行胸腔镜手术患者35例设为气管插管组,麻醉方法实施气管插管全麻;将2015年1月-12月在本院住院行胸腔镜手术患者35例设为喉罩组,麻醉方法实施喉罩全麻,了解和记录两组患者手术情况、术后并发症发生情况及术后下地时间。结果两组患者手术时间和失血量比较,差异均无统计学意义(P>0.05)。喉罩组术后咽痛、声嘶、胃肠道反应的发生率低于气管插管组;术后下床时间较气管插管组提前,两组比较,差异均有统计学意义(P<0.001)。结论喉罩全麻在胸腔镜手术治疗中是安全、可行的。做好呼吸功能锻炼、肢体功能锻炼和并发症的护理以及良好的镇痛,可降低气管插管相关并发症的发生,从可加速患者术后康复。Objective To assess the effect of thoracoscopic surgery under laryngeal mask anesthesia and explore the nursing strategies. Methods Thirty-five patients from April to December in 2014 undergoing video-assisted thoracoscopic surgery（VATS）were given intubation anesthesia and another thirty-five ones undergoing the same surgery in 2015 received laryngeal mask anesthesia.The two groups were compared in terms of surgery conditions, surgery complication and ambulation time. Results No significant differences were found in surgery time or blood loss between two groups（P〉0.05）. The postoperative waking time in the mask anesthesia group was significantly shorter than that of the intubation anesthesia group（ P〈0.05）, and ambulation time was significantly shortened（P〈0.05）. The rates of throat discomfort, hoarseness and gastrointestinal reactions were significantly lower. Conclusions Laryngeal mask anesthesia used in small thoracoscopic surgery for airway management is safe and feasible. Combined with training in respiration and limb function, better analgesia and nursing, it can keep away complications related to intubation anesthesia, shorten hospital stay and accelerate postoperative rehabilitation.

关 键 词：喉罩 胸腔镜 护理 

分 类 号：R472.3[医药卫生—护理学]