資源描述：
《腰-硬聯(lián)合麻醉復(fù)合喉罩和氣管插管全麻在腹腔鏡婦科手術(shù)的應(yīng)用比較》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在工程資料-天天文庫。
1、腰-硬聯(lián)合麻醉復(fù)合喉罩和氣管插管全麻在腹腔鏡婦科手術(shù)的應(yīng)用比較曾亮亮李桂枝李伯興黃愛兒(東莞市寮步醫(yī)院麻醉科廣東東莞523400)【屮圖分類號(hào)】R714【文獻(xiàn)標(biāo)識(shí)碼】A【文章編號(hào)】1672-5085(2011)41-0200-03【摘要】A的觀察腰-硬聯(lián)合麻醉復(fù)合喉罩和氣管插管全麻對(duì)患者血流動(dòng)力學(xué)和術(shù)后并發(fā)癥的影響。方法擇期腹腔鏡婦科手術(shù)患者60例，隨機(jī)分為A組和B組。A組選擇L2-3間隙進(jìn)行腰-硬聯(lián)合麻醉，調(diào)整麻醉平面于T6水平，后麻醉誘導(dǎo)插入喉罩。B組為氣管插管全麻組。記滎麻醉前(T0)、誘導(dǎo)后lmin(T1)、插入喉罩或氣管導(dǎo)管后lmin(T2)、氣腹后5min(T3)、拔
2、喉罩或氣管導(dǎo)管前(T4)、拔喉罩或氣管導(dǎo)管后lmin(T5)的SBP、DBP、HR、SpO2和ECG。并記錄患者拔管、呼之睜眼、隨意運(yùn)動(dòng)恢復(fù)、定向力恢復(fù)的時(shí)間，術(shù)后疼痛評(píng)分。結(jié)果與T0時(shí)相比，B組T2、T3、T4、T5時(shí)SBP、DBP明顯升高，HR明顯增快，且相應(yīng)時(shí)點(diǎn)均高于A組(P<0.05);A組拔管時(shí)間,睜眼時(shí)間,定向力恢復(fù)時(shí)間明顯短于B組，蘇醒后述傷門疼痛率，術(shù)后咽喉痛A組明顯少于B組。結(jié)論腰-硬聯(lián)合麻醉復(fù)合喉罩用于腹腔鏡婦科手術(shù)具有麻醉效果確切、平穩(wěn)、蘇醒迅速及不良反應(yīng)少的優(yōu)點(diǎn)，是較為安全有效的麻醉方法?！娟P(guān)鍵詞】腰-硬聯(lián)合麻醉喉罩氣管插管腹腔鏡婦科手術(shù)Compar
3、isonofCombinedspinal-epiduralanesthesialaryngealmaskairwayandendotrachealintubationintherylaparoscopicgynecologicalsurgeundergeneralanesthesiaZENGLiang-liang，LiGui-zhi，LiBo-xing，etal.DepartmentofAnesthesiology,LiaobuHospital,Dongguan523400,China【Abstract】ObjectiveToobservetheeffectsofCombined
4、spinal-epiduralanesthesialaryngealmaskairwayandendotrachealintubationonhemodynamicsandcomplications.MethodsSixtygeneralanesthesiapatientsscheduledforselectivelaparoscopicgynecologicalsurgewererandomizedintotwogroupswith30caseseach：AgroupandBgroup.GroupAchoice-3clearancetowaistL2epiduralanesth
5、esia,adjusttheanesthesiacombinedplaneinT6level,narcoticinductionintoafterlaryngealmask.GroupBendotrachealintubationforgeneralanesthesiagroup.Recordbeforeanesthesia(TO),afterinduction1min(Tl),insertalaryngealmaskortheendotrachealtubeafter1min(T2),gaslesslaparoscopicafterfivemin(T3),pulloutalar
6、yngealmaskortheendotrachealtube(T4),pulloutbeforelaryngealmaskortheendotrachealtubeafter1min(T5),theSBPDBP,HR,SpO2andECG.Andrecordpullouturinouscatheter,calledtheopenandoptionalsportsrecovery,directionalpowerrecoverytime,postoperativepainscore.TheresultsandTOthanwhengroupBT2,T3,andT4,T5SBPand
7、DBPwhenincreasedsignificantly,HRobviousincreasefast,andthecorrespondingpointarehigherthanthegroupA(P<0.05);GroupAdrawingtubetime,openyoureyestime,directionalpowerrecoverytimeobviousshortingroupB,awokeabovethewound,sorethroatpostoperativepa
