可视喉罩麻醉与气管插管麻醉在胆囊腹腔镜麻醉中的临床对比研究  

Clinical Comparative Study of Visual Laryngeal Mask Anesthesia and Tracheal Intubation Anesthesia in Laparoscopic Cholecystectomy Anesthesia

作　　者：陈建城 CHEN Jiancheng(Department of Anesthesia,Wuyishan Traditional Chinese Medicine Hospital,Fujian Province,Nanping,Fujian 354300,China)

机构地区：[1]福建省武夷山市中医院麻醉科,福建南平354300

出　　处：《中国医药指南》2025年第10期106-108,共3页Guide of China Medicine

摘　　要：目的研究胆囊腹腔镜麻醉中应用气管插管、可视喉罩麻醉的效果。方法选取2024年2月至2024年10月胆囊腹腔镜麻醉患者80例,随机数字表法分为两组,40例/组,对照组行气管插管麻醉,观察组行可视喉罩麻醉。比较麻醉情况、动脉压变化、心率变化、麻醉效果、麻醉并发症发生率。结果观察组使用罗库溴铵剂量低于对照组,拔管、术后清醒时间短于对照组(P<0.05);观察组插管即刻至拔管即刻动脉压低于同期对照组(P<0.05);观察组插管至拔管即刻心率低于对照组(P<0.05);观察组麻醉优良率高于对照组(P<0.05);观察组麻醉并发症发生率低于对照组(P<0.05)。结论胆囊腹腔镜麻醉中,应用可视喉罩麻醉效果较好,有利于术后快速清醒,提高术中动脉压、心率稳定性,改善麻醉效果,减少不良反应。Objective To study the effect of tracheal intubation and visual laryngeal mask anesthesia in laparoscopic cholecystectomy anesthesia.Methods A total of 80 patients with laparoscopic cholecystectomy from February 2024 to October 2024 were selected and divided into two groups(40 cases/group)by random number table method.The control group received tracheal intubation anesthesia and the observation group received visual laryngeal mask anesthesia.The anesthesia condition,arterial pressure change,heart rate change,anesthesia effect and anesthesia complication rate were compared.Results The dose of rocuronium in the observation group was lower than that in the control group,and the wake time after extubation was shorter than that in the control group(P<0.05).The arterial pressure in the observation group from immediately intubation to immediately extubation was higher than that in the control group(P<0.05).The heart rate of observation group immediately after intubation was lower than that of control group(P<0.05).The excellent and good rate of anesthesia in the observation group was higher than that in the control group(P<0.05).The incidence of anesthesia complications in the observation group was lower than that in the control group(P<0.05).Conclusions In the anesthesia for gallbladder laparoscopy,the application of a visual laryngeal mask has a relatively good anesthetic effect.It is conducive to rapid postoperative awakening,improves the stability of arterial pressure and heart rate during the operation,enhances the anesthetic effect,and reduces adverse reactions.

关 键 词：胆囊腹腔镜麻醉 气管插管麻醉 可视喉罩麻醉 麻醉效果 

分 类 号：R614[医药卫生—麻醉学] R657.4[医药卫生—外科学]