資源描述：
《lma supreme喉罩全麻在腹腔鏡膽囊手術(shù)中可行性》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在學(xué)術(shù)論文-天天文庫(kù)。
1、LMASupreme喉罩全麻在腹腔鏡膽囊手術(shù)中可行性【摘要】目的探討LMASupreme一次性雙管喉罩在腹腔鏡膽囊手術(shù)中的應(yīng)用效果。方法80例ASA為～Ⅱ級(jí)擇期全麻腹腔鏡膽囊手術(shù)患者，隨機(jī)分為Ⅰ組（喉罩組，n40）和Ⅱ組（氣管導(dǎo)管組n40）。對(duì)比分析兩組術(shù)中血流動(dòng)力學(xué)變化、記錄麻醉誘導(dǎo)前（T0）、誘導(dǎo)后（T1）、插管（罩）后即刻（T2）、插管（罩）后3min（T3）、拔管（罩）后即刻（T4）、拔管（罩）后3min（T5）等時(shí)點(diǎn)的HR、SBP、DBP、SpO2的變化、麻醉合并癥及不良反應(yīng)。結(jié)果兩組T1及Ⅰ組T2時(shí)SBP、DBP降低（P＜0.05），Ⅰ組在T2、T
2、3、T4和T5等各時(shí)點(diǎn)HR,SBP、DBP比較差異無(wú)統(tǒng)計(jì)學(xué)意義（P＞0.05）；Ⅱ組在T2、T3、T4和T5等各時(shí)點(diǎn)HR、SBP、DBP比T0及Ⅰ組明顯升高（P＜0.05）。Ⅰ組在T4和T5時(shí)患者嗆咳、體動(dòng)以及術(shù)后咽喉痛的發(fā)生明顯少于Ⅱ組（P＜0.05）。兩組其他合并癥及不良反應(yīng)發(fā)生率比較差異無(wú)統(tǒng)計(jì)學(xué)意義（P＞0.05）。結(jié)論LMASupreme喉罩全身麻醉血流動(dòng)力學(xué)平穩(wěn)，與氣管插管比較可明顯降低心血管反應(yīng)，并發(fā)癥少且操作容易，可安全有效地用于腹腔鏡膽囊切除術(shù)?！娟P(guān)鍵詞】LMASupreme喉罩；氣管內(nèi)插管；全身麻醉；腹腔鏡8Thefeasibilityofa
3、aryngealmaskairwaysupremeingeneralanesthesiaundergoinglaparoscopiccholecystectomyFENGYu-feng,CHENShao-yu.DepartmentofAnesthesiology,TheFirstAffiliatedHospitalofXiamenUniversity,Fujian361003,China【Abstract】ObjectiveToexploretheclinicaleffectsoflaryngealmaskairwaysupreme（LMASupreme）an
4、dendotrachealintubationusedforlaparoscopiccholecystectomy（LC）.Methods80casesASAgradeI-IIpatientsundergoingelectiveLCundergeneralanesthesiawererandomlyallocatedtotwogroupswith40caseseach.GroupⅠ（n40）receivedLMASupremeandgroupⅡ（n40）receivedendotrachealtube（ETT）.Thehemodynamicchangesoft
5、wogroupswerecomparedandanalyzedduringanesthesia.HR,SBP,DBP,SpO2wererecordedbeforeanesthesia（T0）,afterinduction（T1）,atthetimeofLMASupreme/ETT（T2）,3minafterLMASupreme/ETT（T3）,atthetimeofextubation（T4）and3minafterextubation（T5）,thecomplicationsandadversereactionsofanesthesiawererecorde
6、dduringeach8operation.ResultsSBPandDBPwerefoundsignificantlylowerthanbaselineatthetimeofT1inbothgroupsandatthetimeofT2ingroupI（P＜0.05）,HR,SBPandDBPwerenotsignificantlydifferentateachpointofT2、T3、T4andT5ingroupI（P＞0.05）；HR,SBP,DBPweresignificantlyhigherthanT0andgroupIateachpointofT2、
7、T3、T4andT5ingroupⅡ（P＜0.05）.Thepatients`chokeandbodymovementingroupIwerefoundsignificantlylowerthanthoseingroupⅡ（P＜0.05）,theoccurrenceofpostoperativesorethroatwasobviouslylowerthanthatingroupⅡ（P＜0.05）.Theincidenceofcomplicationandadversereactionsinbothgroupswasnotsignificant（P＞0.05）.
8、ConclusionGeneralan
