气管插管全麻与喉罩通气全麻应用于脑血管动脉瘤介入栓塞患者的效果比较  

Effects Comparation of Endotracheal Intubation General Anesthesia and Laryngeal Mask Ventilation General Anesthesia in Patients with Cerebrovascular Aneurysm Interventional Embolization

作　　者：李军利[1] 刘楠楠 LI Junli;LIU Nannan(Jiaozuo Second People’s Hospital,Jiaozuo 454150,China)

机构地区：[1]焦作市第二人民医院,河南焦作454150

出　　处：《河南医学研究》2025年第1期69-72,共4页Henan Medical Research

摘　　要：目的比较气管插管全麻与喉罩通气全麻应用于脑血管动脉瘤介入栓塞治疗中的效果。方法选择2021年1—10月于焦作市第二人民医院接受介入栓塞治疗的60例脑血管动脉瘤患者作为研究对象,按随机数表法将其分为对照组和观察组,每组30例。两组患者均接受介入栓塞治疗,治疗过程中对照组选择气管插管全麻,观察组选择喉罩通气全麻,对两组的麻醉效果进行比较。结果在麻醉诱导前(T_(0))、股动脉穿刺时(T_(3))、手术结束时(T_(4)),两组的心率、收缩压、舒张压差异无统计学意义(P>0.05),在置入喉罩或插管后即刻(T_(1))、置入喉罩或插管后5 min(T_(2))、拔除喉罩或气管插管后5 min(T_(5)),观察组的心率、收缩压、舒张压水平均低于对照组(P<0.05)。观察组的术中丙泊酚使用量、术中瑞芬太尼使用量均少于对照组(P<0.05),术后麻醉苏醒时间、定向力恢复时间均短于对照组(P<0.05)。观察组的并发症发生率为6.67%,较对照组低(P<0.05)。结论与气管插管全麻相比,喉罩通气全麻在脑血管动脉瘤患者的介入栓塞治疗中具有较好效果,不仅能维持患者术中的生命体征稳定,减少其应激反应,还可促进患者术后尽快苏醒,且麻醉药物使用量较少,可在一定程度上减少并发症的发生。Objective To compare the value of general anesthesia for endotracheal intubation and general anesthesia for laryngeal mask ventilation in the interventional embolization of cerebrovascular aneurysms.Methods Sixty patients with cerebrovascular aneurysms who received interventional embolization in Jiaozuo Second People’s Hospital from January to October 2021 were selected as the research objects.They were divided into a control group and an observation group according to the random number table.There were 30 patients in each group.Patients in the two group underwent interventional embolization.During the treatment,the control group chose general anesthesia with tracheal intubation,and the observation group chose general anesthesia with laryngeal mask ventilation.The anesthesia effects of the two groups were compared.Results Before induction of anesthesia(T_(0)),femoral artery puncture(T_(3)),and end of surgery(T_(4)),there was no significant difference in heart rate,systolic blood pressure and diastolic blood pressure between the two groups(P>0.05).Immediately after the tube(T_(1)),5 minutes after insertion of the laryngeal mask or intubation(T_(2)),5 minutes after removal of the laryngeal mask or tracheal tube(T_(5)),the heart rate,systolic blood pressure and diastolic blood pressure of the observation group were lower than those of the control group(P<0.05).The intraoperative propofol usage and intraoperative remifentanil usage of the observation group were less than those of the control group(P<0.05),and the postoperative anesthesia recovery time and orientation recovery time were shorter than those of the control group(P<0.05).The complication rate in the observation group was 6.67%,which was lower than that in the control group(P<0.05).Conclusion Compared with general anesthesia with tracheal intubation,general anesthesia with laryngeal mask ventilation has a better effect in the interventional embolization treatment of patients with cerebral vascular aneurysm.It can not only maintain the stability of the pa

关 键 词：脑血管动脉瘤 气管插管全麻 喉罩通气全麻 介入栓塞治疗 

分 类 号：R614[医药卫生—麻醉学]