喉罩与气管插管在脊椎患者全身麻醉中的应用  

Application of Laryngeal Mask and Endotracheal Intubation in Spinal Patients Under General Anesthesia

作　　者：曾华 陈荣柱 Zeng Hua(Dianbai District People’s Hospital of Maoming,Guangdong 525400)

机构地区：[1]茂名市电白区人民医院,广东茂名525400 [2]广东医科大学,广东湛江524000

出　　处：《黑龙江医药》2022年第6期1280-1283,共4页Heilongjiang Medicine journal

基　　金：茂名市科学技术局科技计划项目(项目编号:2020337)。

摘　　要：目的:探讨喉罩与气管插管在脊椎患者全身麻醉中的应用效果。方法:选择2019年12月至2021年12月我院收治的66例脊椎疾病患者,采用随机数字表法分为观察组与对照组。所有患者均行对应手术治疗,对照组术前予以气管插管全身麻醉,观察组采用喉罩全身麻醉。比较两组麻醉期间血流动力学、镇静效果,比较两组术后疼痛程度及不良反应发生风险。结果:观察组T_(1)、T_(2)、T_(3)时间点HR、MAP水平与Ramsay评分均高于对照组(P<0.05)。观察组术后1天、术后3天及术后7天VAS评分均低于对照组(P<0.05)。观察组不良事件总发生率低于对照组(P<0.05)。结论:相较于气管插管,喉罩在脊椎患者全身麻醉中的应用效果更好,患者经麻醉处理后血流动力学稳定性与镇静程度较好,术后疼痛程度与不良反应降低,值得临床推广。Objective:To explore the application effect of laryngeal mask and endotracheal intubation in spinal patients under general anesthesia.Methods:A total of 66 patients with spinal diseases admitted to our hospital from December 2019 to December 2021 were selected and divided into observation group and control group by random number table method.All patients underwent corresponding surgical treatment.The control group was given general anesthesia with endotracheal intubation before operation,while the observation group was given general anesthesia with laryngeal mask.The hemodynamics and sedation effects during anesthesia were compared between the two groups.The degree of postoperative pain and the risk of adverse reactions were compared between the two groups.Results:HR,MAP and Ramsay score at T_(1),T_(2)and T_(3)time points in the observation group were higher than those in the control group(P<0.05).The scores of DVAS 1 day,3 days and 7 days after operation in the observation group were lower than those in the control group(P<0.05).The total incidence of adverse events in the observation group was lower than that in the control group(P<0.05).Conclusion:Compared with endotracheal intubation,laryngeal mask has a better application effect in spinal patients under general anesthesia.The hemodynamic stability and sedation degree of patients after anesthesia treatment are better,and the degree of postoperative pain and adverse reactions are reduced,which is worthy of clinical promotion.

关 键 词：喉罩 气管插管 脊椎疾病 全身麻醉 血流动力学 

分 类 号：R614.21[医药卫生—麻醉学]