保留自主呼吸的喉罩全身麻醉在胸腔镜肺大疱切除手术中的应用  

Application of laryngeal mask general anesthesia with keeping self breathing in thoracoscopic bullectomy

作　　者：练胜强 彭小兰[2] 纪浩聪[1] LIAN Sheng-qiang;PENG Xiao-lan;JI Hao-cong(Department of Anesthesiology,the First People′s Hospital of Huizhou City,Guangdong Province,Huizhou 516003,China;Department of Pharmacy,the First People′s Hospital of Huizhou City,Guangdong Province,Huizhou 516003,China)

机构地区：[1]广东省惠州市第一人民医院麻醉科,广东惠州516003 [2]广东省惠州市第一人民医院药学部,广东惠州516003

出　　处：《中国当代医药》2020年第25期141-143,共3页China Modern Medicine

摘　　要：目的分析和探讨保留自主呼吸的喉罩全身麻醉在胸腔镜肺大疱切除手术中的应用。方法选取2017年9月~2019年9月我院接受胸腔镜肺大疱切除手术的106例患者作为研究对象,并采用“颜色球分组”法分为对照组(53例)和观察组(53例)。对照组患者采用肌松药+插入双腔支气管导管麻醉方式,观察组患者采用插入喉罩术中保留自主呼吸麻醉方式。比较两组患者的手术时间、苏醒时间、住院时间、术后下床时间、插管前后平均动脉压(MAP)、心率(HR)以及术后并发症发生情况。结果观察组患者的手术时间、苏醒时间、住院时间、术后下床时间均短于对照组,差异有统计学意义(P<0.05)。插管后两组患者的MAP、HR均低于插管前,差异有统计学意义(P<0.05),但观察组患者插管后的MAP、HR均高于对照组,差异有统计学意义(P<0.05)。观察组患者的术后并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论保留自主呼吸的喉罩全身麻醉在胸腔镜肺大疱切除手术中的应用效果显著,不仅能够改善手术指标,还能够改善MAP、HR等指标,降低术后并发症总发生率,值得推广。Objective To analyze and discuss the application of laryngeal mask general anesthesia with keeping self breathing in thoracoscopic bullectomy.Methods A total of 106 patients who accepted thoracoscopic bullectomy in our hospital from September 2017 to September 2019 were selected as the study objects,and they were divided into control group(53 cases)and observation group(53 cases)by"color ball grouping"method.The patients in the control group were anesthetized with muscle relaxant and double lumen bronchus catheter,while the patients in the observation group were anesthetized with keeping self breathing during laryngeal mask insertion.The operation time,wake-up time,hospitalization time,time of getting out of bed,mean arterial pressure(MAP),heart rate(HR)and complications were compared before and after intubation between the two groups.Results The operation time,wake-up time,hospitalization time and the time of getting out of bed in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).MAP and HR after intubation in both groups were lower than before intubation,and the differences were statistically significant(P<0.05),but MAP and HR after intubation in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of laryngeal mask general anesthesia with keeping self breathing in thoracoscopic bullectomy not only can improve the operation index,but also improve MAP,HR and other indicators,and reduce the incidence of complications.It is worth popularizing.

关 键 词：保留自主呼吸 喉罩全身麻醉 胸腔镜肺大疱切除手术 应用 

分 类 号：R614[医药卫生—麻醉学]