Proseal喉罩麻醉对肾结石软镜患者术后麻醉恢复的影响  

Effect of Proseal laryngeal mask anesthesia on anesthesia recovery of patients with flexible endoscopy in kidney calculi

作　　者：温振忠 韩丽雪 WEN Zhen-zhong;HAN Li-xue(Department of Anesthesiology,Zhuanghe Central Hospital,Zhuanghe 116400,China)

机构地区：[1]庄河市中心医院麻醉科,116400

出　　处：《中国实用医药》2023年第15期57-60,共4页China Practical Medicine

摘　　要：目的探讨Proseal喉罩麻醉对肾结石软镜患者术后麻醉恢复的影响。方法100例肾结石接受软镜治疗的患者,按照随机数字表法分为观察组和对照组,每组50例。两组均使用静脉快诱导全身麻醉,对照组行气管插管术,观察组行Proseal喉罩置入。比较两组准备插管(喉罩)时间及插管(喉罩)操作时间,麻醉复苏指标,复苏期间不良事件发生情况。结果观察组准备插管(喉罩)时间、插管(喉罩)操作时间分别为(5.1±1.4)min、(15.8±6.8)s,均显著短于对照组的(6.9±2.2)min、(37.8±12.7)s,差异具有统计学意义(P<0.05)。观察组拔管(喉罩)时间(8.8±4.4)min、复苏室停留时间(15.1±6.8)min短于对照组的(18.1±5.7)、(22.7±10.4)min,苏醒期躁动评分(1.1±0.1)分低于对照组的(2.1±0.5)分,差异具有统计学意义(P<0.05)。观察组复苏期间不良事件发生率为2.0%,低于对照组的26.0%,差异具有统计学意义(P<0.05)。结论针对肾结石接受软镜治疗的患者,气道处理方法上选择Proseal喉罩置入,能有效缩短操作时间,提高麻醉工作效率,更利于患者术后麻醉恢复,且不良事件少,值得临床推广应用。Objective To discuss the effect of Proseal laryngeal mask anesthesia on anesthesia recovery of patients with flexible endoscopy in kidney calculi.Methods A total of 100 patients with flexible endoscopy in kidney calculi were divided into observation group and control group according to random numerical table,with 50 cases in each group.Both groups were given intravenous rapid induction of general anesthesia,the control group received tracheal intubation,and the observation group received Proseal laryngeal mask implantation.The preparation time for intubation(laryngeal mask),operation time of intubation(laryngeal mask),anesthesia recovery indexes,and the occurrence of adverse events during recovery were compared between the two groups.Results The preparation time for intubation(laryngeal mask)and operation time of intubation(laryngeal mask)were(5.1±1.4)min and(15.8±6.8)s in the observation group,which were significantly shorter than those of(6.9±2.2)min and(37.8±12.7)s in the control group,and the differences were statistically significant(P<0.05).The extubation time of(8.8±4.4)min and stay time in the resuscitation room of(15.1±6.8)min in the observation group were shorter than those of(18.1±5.7)and(22.7±10.4)min in the control group;the restlessness score during recovery of(1.1±0.1)points in the observation group was lower than that of(2.1±0.5)points in the control group;the differences were statistically significant(P<0.05).The incidence of adverse events during recovery was 2.0%in the observation group,which was lower than that of 26.0%in the control group,and the difference was statistically significant(P<0.05).Conclusion For patients with flexible endoscopy in kidney calculi,Proseal laryngeal mask airway control method can effectively shorten the operation time,improve the efficiency of anesthesia,and be more conducive to postoperative anesthesia recovery,with fewer adverse events.It is worthy of clinical promotion.

关 键 词：PROSEAL喉罩 肾结石 软镜 呼吸控制 麻醉恢复 

分 类 号：R614[医药卫生—麻醉学]