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时间:2020-05-02
《喉罩下全凭吸入七氟醚维持麻醉用于腹腔镜胆囊切除术的临床观察.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、20l3年l1月第3卷第21期·麻醉与镇痛·喉罩下全凭吸入七氟醚维持麻醉用于腹腔镜胆囊切除术的临床观察詹利付前聪李家宽’1.安徽医科大学附属六安市人民医院麻醉科,安徽六安237005;2.安徽医科大学附属六安市人民医院肿瘤外科,安徽六安237005【摘要】目的探讨在腹腔镜胆囊切除手术中应用喉罩通气全凭吸人七氟醚维持麻醉的临床安全性。方法择期行LC的患者60例,随机均分为七氟醚组(A组)和全凭静脉组(B组)。A组采用七氟醚全凭吸人麻醉维持,B组采用丙自酚、舒芬太尼和罗库溴铵麻醉维持。监测并记录麻醉前后的血流动力学指标;记录喉罩拔除时间,观察恢复期不良反应情况。结果两组术中
2、生命体征差异无统计学意义(P>0.05),但A组拔管时间短于B组(P<0.05),且不良反应发生率较B组少(P<0.05o结论LC采用喉罩通气全凭吸入七氟醚麻醉维持,能满足喉罩置人及外科手术操作的麻醉要求,操作方便、安全性高。[关键词】喉罩;吸入麻醉;七氟醚;腹腔镜胆囊切除术【中图分类号】R614【文献标识码】B【文章编号】2095—0616(2013)21—1O7一O2ClinicalObservationofsevofluraneinhalationanesthesiadependsonlaryngealmaskinlaparoscopiccholecystecto
3、myZHANLiFUQiancongLIJia/~an1.DepartmentofAnesthesiology,Lu’anPeople’SHospitalAffiliatedtoMedicalUniversityofAnhui,Lu’an237005,China;2.DepartmentofSurgicalOncology,Lu’anPeople’SHospitalAffiliatedtoMedicalUniversityofAnhui,Lu’an237005,ChinaIAbstract】ObjectiveToexploretheclinicalsafetyofsev
4、ofluraneinhalationmaintenanceanesthesiawithlaryngealmaskairwayinlaparoscopiceholecysteetomy.Methods60patientsundergoingselectiveLCwereselectedandrandomly,dividedintosevofluranegroup(groupA)andtotalintravenousgroup(Bgroup).GroupAweremaintainedanesthesiawithsevofluraneinhalation,groupBwere
5、maintainedanesthesiawithDisoprofol,SufentanilandRocuroniumBromide.MAP,HRandSpO,weremonitoringandrecordingbefore,duringandafteranesthesia.Thetimebetweentheendofoperationandlaryngealmaskremovewererecorded.Adversereactionswereobservedwhentheywereconvalescent.ResultsTherewerenosignificantdif
6、erencesinvitalsignsoftwogroups(尸>0.05),butthetimebetweentheendofoperationandlaryngealmaskremoveofgroupAwasshorterthanthatofgroupB<0.05),convalescentincidenceofadversereactionwasalsolessthanthatofBgroupfP<0.05).ConclusionByusingsevofluraneinhalationanesthesiawithLaryngealmaskinLC,therequi
7、rementsoflaryngealmaskpalcementandsurgicaloperationcanbemetandconvenientoperation,highsafety.【Keywords1Laryngealmask;Inhalationanesthesia;Sevoflurane;Laparoseopiceholeeysteetomy喉罩是介于面罩和气管导管之间的通气装置,应用1.2麻醉方法于全麻气道管理具有操作简单、不暴露声门、刺激小等诸两组术前均给予盐酸戊乙奎醚(成都力思特制药股份公多优点⋯。本研究比较腹腔镜胆囊切除
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