无肌松喉罩通气利于减少宫腔镜术后全麻并发症  

No muscle loose throat mask ventilation is beneficial to reduce general anesthesia complications after hysteroscopy

作　　者：王新立 王保国[2] WANG Xin-li;WANG Bao-guo(Beijing Daxing Ai Yuhua Women and Childr en Hospital,Beijing 100093;不详)

机构地区：[1]北京大兴爱育华妇儿医院,北京100093 [2]北京三博脑科医院

出　　处：《中国国境卫生检疫杂志》2021年第S01期94-96,共3页Chinese Journal of Frontier Health and Quarantine

摘　　要：目的探讨妇科宫腔镜手术中无肌松全麻喉罩通气对术后并发症的影响。方法选取我院2019年宫腔镜手术100例随机分为两组,A组为喉罩肌松组,B组为无肌松组。A组丙泊酚1.5mg/kg,瑞芬太尼1.5μg/kg,米库氯胺0.15mg/kg。B组丙泊酚1.5mg/kg,瑞芬太尼1.5μg/kg,生理盐水5ml。记录诱导前(T0)、置入喉罩时(T1)、置入喉罩后3min(T2)、扩宫时(T3)、置入喉罩后5 min(T4)和拔除喉罩时(T5)血流动力学变化;记录术后不良反应发生率。结果两组患者血流动力学比较T1、T2时刻MAP、HR均下降(P>0.05),A组置入喉罩条件优于B组(P<0.05)。总体不良反应发生率A组低于B组(14%:20%,P<0.05)。结论宫腔镜手术采用喉罩全麻机控通气可降低术后总体不良反应发生率,避免肌松药的不良反应。Objective To investigate the effect of ventilation on postoperative complications during gynecological hysteroscopy.Methods The 100 hysteroscopic surgery cases in 2019 were randomly divided into two groups group A was the laryngeal mask muscle floss group,and group B was the muscle floss-free group,group A propofol 1.5mg/kg,rifentanyl 1.5g/kg,and mikuketamine 0.15mg/kg.Group B of propofol 1.5mg/kg,rifentanyl 1.5g/kg,and 5mL of normal saline.Hemodynamic changes before induction(T0),laryngeal mask placement(T1),3 min(T2),uterine expansion(T3),5min(T4)and(T5)after laryngeal mask removal,and the incidence of postoperative adverse reactions.Results Hemodynamic comparison decreased MAP and HR at T1 and T2(allP>0.05).The mask in group A was better than group B(P<0.05).Overall incidence of adverse reactions in group A was lower than in group B(14%vs.20%,P<0.05).Conclusion General anesthesia controlled ventilation can reduce the overall postoperative adverse effects,avoid the adverse effects of muscle relaxins.

关 键 词：喉罩 全麻 术后并发症 肌松剂 宫腔镜 

分 类 号：R183[医药卫生—流行病学]