胃窦区超声测定在急腹症腹腔镜手术麻醉中的临床应用  

Clinical Application of Gastric Antrum Ultrasonography Measurement in Laparoscopic Surgery Anesthesia for Acute Abdomen

作　　者：黄燕珊 金涛林 余汶青 袁小峰 HUANG Yanshan;JIN Taolin;YU Wenqing;YUAN Xiaofeng(The Second People's Hospital of Huadu,Guangzhou,Guangzhou 510800,China;不详)

机构地区：[1]广州市花都区第二人民医院,广东广州510800

出　　处：《中外医学研究》2024年第17期71-74,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：广州市花都区科技计划项目(22-HDWS-114)。

摘　　要：目的:分析胃窦区超声测定在急腹症腹腔镜手术麻醉中的临床应用效果。方法:回顾性分析2022年8月—2023年8月广州市花都区第二人民医院120例急腹症腹腔镜手术麻醉患者的临床资料。根据检测方法不同分为两组,各60例。A组常规禁食禁饮,行急诊腹腔镜手术麻醉。B组同时采用胃窦区超声测定。采用超声测量胃窦横截面(CSA)指导是否采取干预措施,并根据Perlas半定量的3级分级得到3种测量结果将B组分为空胃组、中间胃内容物组、饱胃组。比较两组呕吐发生情况,以及B组中不同患者处理率、延迟手术率、呕吐发生情况。结果:两组麻醉诱导时呕吐发生率比较,差异无统计学意义(P>0.05);B组麻醉苏醒过程、术后2 h呕吐发生率及总发生率比A组低,差异有统计学意义(P<0.05)。空胃组饱胃患者处理率、术后2 h呕吐率低于中间胃内容物组,差异有统计学意义(P<0.05)。空胃组饱胃患者处理率、延迟手术率、术后2 h呕吐发生率低于饱胃组,差异有统计学意义(P<0.05)。结论:采用胃窦区超声测定可减少急腹症腹腔镜手术麻醉患者的呕吐发生率,降低反流误吸风险,提高麻醉的安全性和可控性。Objective:To analyze the clinical application effect of gastric antrum ultrasonography measurement in laparoscopic surgery anesthesia for acute abdomen.Method:The clinical data of 120 patients undergoing laparoscopic surgery anethesia for acute abdomen in the Second People's Hospital of Huadu,Guangzhou from August 2022 to August 2023 were selected for retrospective analysis.The patients were divided into two groups according to the different detection methods.60 cases in each group.Group A underwent emergency laparoscopic surgery anethesia with routine fasting and abstinence.Group B was also used gastric antrum ultrasonography measurement.Using ultrasound measurements of antrum in cross-section(CSA)to guide intervention,and group B was divided into empty stomach group,intermediate stomach contents group and full stomach group according to the three semi-quantitative grades of Perlas.The incidence of vomiting in the two groups was compared,as well as the treatment rate,delayed operation rate and incidence of vomiting in different patients in group B.Result:There was no significant difference of the incidence of vomiting during anesthesia induction(P>0.05);the incidence of vomiting of anesthesia recovery and 2 h after surgery and the total incidence of vomiting in group B were lower than those in group A,and the differences were statistically significant(P<0.05).The processing rate of full stomach patients and postoperative vomiting rate of full stomach patients in empty stomach group were lower than those in intermediate stomach contents group,and the differences were statistically significant(P<0.05).The processing rate of full stomach patients,the rate of delayed operation and the incidence of vomiting 2 h after operation in the empty stomach group were lower than those in the full stomach group,and the differences were statistically significant(P<0.05).Conclusion:The use of gastric antrum ultrasonography measurement can reduce the incidence of vomiting,reduce the risk of reflux aspiration and improve the safety

关 键 词：胃窦区超声测定 急腹症腹腔镜手术 空胃 饱胃 麻醉 

分 类 号：R614[医药卫生—麻醉学]