喉罩麻醉在骨科手术中的应用价值  

Application Value of Laryngeal Mask Anesthesia in Orthopedic Surgery

作　　者：宗雪松 ZONG Xuesong(Department of Anesthesiology,Liaoyuan Central Hospital of Jilin Province,Liaoyuan 136200,China)

机构地区：[1]辽源市中心医院麻醉科,吉林辽源136200

出　　处：《中国医药指南》2021年第12期97-98,101,共3页Guide of China Medicine

摘　　要：目的探析喉罩麻醉在骨科手术中的应用价值。方法选取2018年2月至2019年2月我院骨科收治的采取外科手术治疗的120例患者作为研究对象,采用随机数字表法将患者分为对照组和试验组,每组60例。对照组给予气管插管麻醉,试验组给予喉罩麻醉。比较两组的麻醉效果。结果试验组在术后8、16、24 h的镇痛效果显著低于对照组,差异有统计学意义(P<0.05);试验组患者在麻醉前的收缩压、心率、血氧氧饱和度与对照组相比,差异无统计学意义(P>0.05);试验组麻醉后及苏醒后的心率、血氧氧饱和度的下降程度优于对照组,差异有统计学意义(P<0.05);试验组拔管需要降压药比例及发生苏醒期躁动比例显著低于对照组,差异有统计学意义(P<0.05);麻醉后,试验组的不良反应发生率为6.67%,显著低于对照组的21.67%,差异有统计学意义(P<0.05)。结论喉罩麻醉比气管插管麻醉更适合应用于骨科手术中,利于提升镇痛效果。Objective To explore the application value of laryngeal mask anesthesia in orthopedic surgery.Methods A total of 120 patients who underwent surgical treatment in our hospital from February 2018 to February 2019 were selected as research objects.They were randomly divided into reference group and experimental group,60 patients in each group.The reference group was given tracheal intubation anesthesia and the experimental group was given laryngeal mask anesthesia.Compare the anesthesia effects of the two groups.Results The analgesic effect of the experimental group at 8,16 and 24 hours after operation were lower than that of the control group,the difference was statistically significant(P<0.05).The systolic blood pressure,heart rate and pulse oxygen saturation of the patients in the experimental group before anesthesia had no statistical significance compared with the reference group(P>0.05).The decline degree of heart rate and pulse oxygen saturation after anesthesia and awakening in the experimental group had significant statistical significance compared with the reference group,the differences were statistically significant(P<0.05).The number of patients requiring antihypertensive drugs for extubation and the number of patients experiencing agitation during awakening in the experimental group were significantly lower than those in the control group,and the difference was statistically significant(P<0.05).After anesthesia,the incidence of adverse reactions in the experimental group was 6.67%,significantly lower than the incidence of adverse reactions in the reference group of 21.67%,the difference was statistically significant(P<0.05).Conclusion Laryngeal mask anesthesia is more suitable for orthopedic surgery than tracheal intubation anesthesia,conducive to enhancing the analgesic effect.

关 键 词：麻醉法 喉罩麻醉 骨科手术 镇痛效果 

分 类 号：R614[医药卫生—麻醉学] R826.24[医药卫生—外科学]