基于快速康复外科理念的喉罩全身麻醉在腹腔镜异位妊娠手术中的应用效果  

Application effect of laryngeal mask general anesthesia based on rapid rehabilitation surgery in laparoscopic ectopic pregnancy surgery

作　　者：赵瑞珍 ZHAO Ruizhen(Department of Anesthesiology,Beijing Miyun District Maternal And Child Health Care,Beijing101500,China)

机构地区：[1]北京市密云区妇幼保健院麻醉科,北京101500

出　　处：《中国当代医药》2023年第11期136-139,共4页China Modern Medicine

摘　　要：目的分析快速康复外科(ERAS)理念下喉罩全身麻醉用于腹腔镜异位妊娠手术的效果。方法选择2020年1月至2021年12月北京市密云区妇幼保健院行腹腔镜异位妊娠手术全身麻醉60例患者为研究对象,按随机数字表法分为观察组(30例)和对照组(30例)。观察组采用喉罩全身麻醉,对照组采用气管插管全身麻醉。比较两组置入前、置入即刻、拔管或拔喉罩前、拔除即刻的心率、平均动脉压情况;比较两组苏醒期躁动、呛咳及术后咽痛、声嘶发生情况,拔管至出室时间。结果两组置入前和拔除前的心率、平均动脉压比较,差异无统计学意义(P>0.05);观察组置入即刻和拔除即刻的心率、平均动脉压低于对照组,差异有统计学意义(P<0.05);观察组苏醒期躁动、呛咳发生率及术后咽痛、声嘶发生率低于对照组,差异有统计学意义(P<0.05)。观察组的拔管至出室时间短于对照组,差异有统计学意义(P<0.05)。结论ERAS理念下喉罩全身麻醉较气管插管全身麻醉更具优势。Objective To analyze the effect of laryngeal mask general anesthesia in laparoscopic ectopic pregnancy surgery under the concept of enhanced recovery after surgery(ERAS).Methods Sixty patients undergoing general anesthesia for laparoscopic ectopic pregnancy surgery in Miyun Maternal and Child Health Hospital of Beijing from January 2020 to December 2021 were selected as the research objects,and were divided into observation group(30 cases)and control group(30 cases)according to random number table method.The observation group was under general anesthesia with laryngeal mask,and the control group was under general anesthesia with endotracheal intubation.The heart rate and mean arterial pressure before and immediately after implantation,before and immediately extubation or laryngeal mask removal were compared between two groups.The incidence of agitation,choking cough,postoperative pharyngeal pain and hoarseness,and the time from extubation to exit the room were compared between the two groups.Results There were no significant differences in heart rate and mean arterial pressure between the two groups before implantation and before removal(P>0.05).The heart rate and mean arterial depression of the observation group immediately after implantation and removal were significantly lower than those of the control group,the differences were stastically significant(P<0.05).The incidence of agitation and cough in the observation group was lower than that in the control group,as well as the incidence of postoperative pharyngeal pain and hoarseness,the differences were statistically significant(P<0.05).The extubation to extubation time in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).Conclusion General anesthesia under laryngeal mask by ERAS concept has more advantages than general anesthesia under tracheal intubation.

关 键 词：快速康复外科 喉罩 气管插管 全身麻醉 腹腔镜 异位妊娠 平均动脉压 心率 

分 类 号：R614[医药卫生—麻醉学]