喉罩通气与气管插管手术麻醉对患者术后指标的影响对比  

Effect of laryngeal mask airway and endotracheal intubation anesthesia on postoperative indicators

作　　者：倪宇鹏 NI Yu-peng(The People＇s Hospital of Hanyuan County,Ya＇an 625300,China)

机构地区：[1]汉源县人民医院,四川雅安625300

出　　处：《吉林医学》2018年第10期1855-1856,共2页Jilin Medical Journal

摘　　要：目的:探究气管插管与喉罩通气两种手术麻醉方法对患者术后肺不张的影响。方法:选择行腹部手术患者68例,并根据数字表法分为两组。对照组34例患者予以气管插管麻醉,观察组34例患者予以喉罩通气麻醉,并对比两组患者动脉血分压(Pa O_2)、动脉血二氧化碳分压(Pa CO_2)、心率(HR)、总住院时间、肺部感染发生率、肺不张发生率、肺栓塞发生率与呼吸窘迫发生率。结果:两组患者在Pa O_2、Pa CO_2、HR、总住院时间方面比较,差异无统计学意义(P>0.05);两组患者在肺部感染发生率、肺不张发生率、肺栓塞发生率与呼吸窘迫发生率方面比较,差异无统计学意义(P>0.05)。结论:气管插管与喉罩通气两种手术麻醉方法术后肺不张发生率类似,住院时间没有显著差异。Objective to investigate the effect of two methods： endotraeheal intubation and laryngeal mask ventila- tion. Method 68 eases of patients with abdonfinal surgery- were selected, and according to the method of digital meter, they were divided into two groups, control group of 34 patients with tracheal intubation anesthesia, observation group of 34 eases with laryn- geal mask airway anesthesia, PaO2 , PaCO2 and comparing the 2 groups of patients, HR, total length of hospital stay, the incidence of pulmonary infection, the incidence of atelectasis, pulmonary embolism incidence and the incidence of respiratory distress of two groups were compared. Results The comparison between PaO2 , PaCO2 , HR and total hospital time was compared between 2 groups （ P 〉 0. 05 ）. The incidence rate of pulmonary infection, the incidence of pulmonary- inpatient, pulmonary- embolism and the incidence of respiratory- distress were compared between the two groups （ P 〉 0. 05 ）. Conclusion There is no significant difference in hospital time between endotracheal intubation and laryngeal mask.

关 键 词：喉罩通气 气管插管 手术麻醉 术后肺不张 影响 

分 类 号：R614[医药卫生—麻醉学]