喉罩自主通气全麻方法在胸腔镜手术中的临床应用  

Clinical application of laryngeal mask ventilation general anesthesia in thoracoscopic surgery

作　　者：苏盈笑[1] 王磊 王武明[3] 熊江琴[1] 周涛[4] 王玉[1] 罗江波[1] SU Ying-xiao;WANG Lei;WANG Wu-ming;XIONG Jiang-qin;ZHOU Tao;WANG Yu;LUO Jiang-bo(Department of Anesthesiology,Thoracic Hospital of Jiangxi Province,Nanchang 330006,China;Jiangxi Vocational College of Health,Jiangxi Province,Nanchang 330052,China;The First Department of Surgical,Thoracic Hospital of Jiangxi Province,Nanchang 330006,China;Department of Anesthesiology,Jiangxi Provincial People′s Hospital,Jiangxi Province,Nanchang 330006,China)

机构地区：[1]江西省胸科医院麻醉科,江西南昌330006 [2]江西卫生职业学院,江西南昌330052 [3]江西省胸科医院外一科,江西南昌330006 [4]江西省人民医院麻醉科,江西南昌330006

出　　处：《中国当代医药》2021年第16期122-124,共3页China Modern Medicine

基　　金：江西省卫生计生委科技计划项目(20185473)。

摘　　要：目的探究喉罩自主通气全麻在胸腔镜手术中的临床应用效果。方法选取2017年1月~2019年2月江西省胸科医院麻醉科收治的100例胸腔镜手术患者作为研究对象,采用抽签法将其分为对照组与观察组,每组各50例。对照组患者采取双腔管通气全麻,观察组患者采用喉罩自主通气全麻。比较两组患者的苏醒时间、自主恢复呼吸时间、下床时间及并发症总发生率。结果观察组患者的术后苏醒时间、自主恢复呼吸时间、下床时间短于对照组,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)。结论喉罩自主通气全麻在胸腔镜手术中的应用,可以缩短苏醒时间、自主恢复呼吸时间以及术后下床时间,减少并发症,值得临床推广。Objective To explore the clinical application of laryngeal mask ventilation general anesthesia in thoracoscopic surgery.Methods A total of 100 patients with thoracoscopic surgery who admitted to the Department of Anesthesiology,Thoracic Hospital of Jiangxi Province from January 2017 to February 2019 were selected as the research objects and divided into the control group and the observation group by lotting,with 50 cases in each group.The control group received general anesthesia with double lumen tube ventilation,and the observation group received general anesthesia with laryngeal mask spontaneous ventilation.The waking time,spontaneous recovery breathing time,time to get out of bed and the total incidence of complications were compared between the two groups.Results The postoperative awakening time,spontaneous recovery breathing time and getting out of bed time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of postoperative 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 airway general anesthesia in thoracoscopic surgery can shorten the time of waking up and postoperative getting out of bed,which is worthy of clinical promotion.

关 键 词：喉罩自主通气全麻 胸腔镜手术 临床价值 肺部感染 

分 类 号：R614.21[医药卫生—麻醉学]