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1、LMASupreme喉罩全麻在腹腔镜胆囊手术中可行性【摘要】目的探讨LMASupreme一次性双管喉罩在腹腔镜胆囊手术中的应用效果。方法80例ASA为～Ⅱ级择期全麻腹腔镜胆囊手术患者，随机分为Ⅰ组（喉罩组，n40）和Ⅱ组（气管导管组n40）。对比分析两组术中血流动力学变化、记录麻醉诱导前（T0）、诱导后（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）等时点的HR、SBP、DBP、SpO2的变化、麻醉合并症及不良反应。结果两组T1及Ⅰ组T2时SBP、DBP降低（P＜0.05），Ⅰ组在T2、T
2、3、T4和T5等各时点HR,SBP、DBP比较差异无统计学意义（P＞0.05）；Ⅱ组在T2、T3、T4和T5等各时点HR、SBP、DBP比T0及Ⅰ组明显升高（P＜0.05）。Ⅰ组在T4和T5时患者呛咳、体动以及术后咽喉痛的发生明显少于Ⅱ组（P＜0.05）。两组其他合并症及不良反应发生率比较差异无统计学意义（P＞0.05）。结论LMASupreme喉罩全身麻醉血流动力学平稳，与气管插管比较可明显降低心血管反应，并发症少且操作容易，可安全有效地用于腹腔镜胆囊切除术。【关键词】LMASupreme喉罩；气管内插管；全身麻醉；腹腔镜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
