喉罩在胸腔镜下交感神经链切断术的应用效果  

A pplication effect of laryngeal mask in thoracoscopic sympathectomy

作　　者：朱秀文 陈银连 陈诗敏 蔡敏仪 ZHU Xiuwen;CHEN Yinlian;CHEN Shimin;CAI Minyi(Sihui People's Hospital,Guangdong 526200,China)

机构地区：[1]肇庆市中心人民医院,四会市人民医院,广东四会526200

出　　处：《临床医药实践》2025年第1期14-18,共5页Proceeding of Clinical Medicine

基　　金：肇庆市科学技术局科技计划项目(项目编号:2023040310017)。

摘　　要：目的:探讨手汗症双侧胸腔镜下交感神经链切除术患者实施喉罩全身麻醉(以下简称全麻)和双腔气管插管全麻的临床效果。方法:回顾性分析2023年10月—2024年5月收治的40例单孔法完成手汗症病例的临床资料,随机分对照组和观察组,每组20例。对照组实行双腔气管插管全麻,观察组实行喉罩全麻。比较两组麻醉复苏时间、双侧手术总时间、术中出血量、术后视觉模拟疼痛评分(VAS)、住院时间和住院费用、术后并发症发生率及应激反应指标。结果:观察组麻醉复苏时间短于对照组(P<0.05);两组双侧手术总时间、术中出血量比较,差异无统计学意义(P>0.05);观察组术后1 d的VAS评分和白细胞计数(WBC)水平低于对照组,住院时间短于对照组,住院费用少于对照组(P<0.05);观察组术后咽痛、呛咳等发生率低于对照组(P<0.05);两组术后1 d的炎症因子水平较之前均呈升高趋势,但观察组白细胞介素-6(IL-6)、肿瘤坏死因子(TNF-α)、C反应蛋白(CRP)水平低于对照组(P<0.05);术后1 d观察组皮质醇(COR)、去甲肾上腺素(NE)水平均低于对照组(P<0.05)。结论:胸腔镜下交感神经链切断术中实施喉罩全麻,有效且安全,与双腔气管插管全麻相比,具有减轻术后疼痛、降低并发症风险、节约住院时间等突出优势。Objective:To explore the clinical effects of implementing laryngeal mask anesthesia and dual lumen tracheal intubation anesthesia in patients with palmar hyperhidrosis(bilateral thoracoscopic sympathetic nerve chain resection)using a single port method.Methods:A retrospective analysis was conducted on the clinical data of 40 cases of hand hyperhidrosis completed by single hole method in hospital,which were admitted from October 2023 to May 2024.They were randomly divided into two groups:a control group and an observation group.The control group was given general anesthesia with double-lumen tracheal intubation,while the observation group was given general anesthesia with laryngeal mask airway.The anesthesia recovery time,total bilateral operation time,intraoperative blood loss,postoperative visual analogue pain score(VAS),hospitalization time and hospitalization expenses,postoperative complications rate and stress response index were compared between the two groups Results:The anesthesia recovery time in the observation group was shorter than that in the control group(P<0.05),and the total bilateral surgery time and intraoperative bleeding volume were compared between the two groups(P>0.05).The VAS and white blood cell count(WBC)in the observation group were lower than those in the control group one day after operation,and the hospitalization time and expenses were shorter than those in the control group(P<0.05).The incidence of postoperative sore throat and cough in the observation group was lower than that in the control group(P<0.05).One day after operation,the levels of inflammatory factors in the two groups were higher than before,but the levels of interleukin-6(IL-6),tumor necrosis factor(TNF-α)and C-reactive protein(CRP)in the observation group were lower than those in the control group(P<0.05).The levels of cortisol(COR)and norepinephrine(NE)in the observation group were lower than those in the control group 1 day after operation(P<0.05).Conclusion:The implementation of laryngeal mask anesthesia during t

关 键 词：喉罩 胸腔镜 交感神经链切断术 应用效果 

分 类 号：R614[医药卫生—麻醉学]