双管喉罩通气在老年高血压患者LC手术中的应用研究.pdf

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1、·2l82·安徽医药AnhuiMedicalandPharmaceuticalJournal2014Nov；18(11)双管喉罩通气在老年高血压患者LC手术中的应用研究郑建武，饶翔，周斌，谢亚东(解放军第532医院，安徽黄山245041)摘要：目的比较双管喉罩与常规气管导管应用于老年原发性高血压患者腹腔镜胆囊切除术(LC)中的安全性、可行性和有效性。方法择期行IC手术老年原发性高血压患者120例，ASAI～Ⅲ级，随机分为双管喉罩组(L组)与气管插管组(T组)，每组60例，观察插管(喉罩)前后以及拔管(喉罩)即刻患者心率(HR)、平均动脉压(M

2、AP)、气道峰压(P)、脉搏血氧饱和度(SpO)、呼气末二氧化碳分压(PetCO)，并记录术中及术后的相关并发症。结果血流动力学的变化：L组在置入期和拔除期HR、MAP的变化与T组比较差异有显著性(P

3、术doi：10．3969／i．issn．1009—6469．2014．11．057ApplicationofLMA—ProSealinLCsurgeryofelderlyhypertensivepatientsZHENGJian—WU，RAOXiang，ZHOUBin，etal(P532Hospital，Huangshan，Anhui245041，China)Abstract：ObjectiveTocomparethesafety，feasibilityandeffectivenessbetweenLMA—ProSealandtheconve

4、ntionalendotrachealtubeusedinlaparoscopicch0lecystectomy(LC)ofelderlypatientswithessentialhypertension．MethodsOnehundredandtwentyASAI一ⅢelderlyessentialhypertensionpatientsscheduledforLCwererandomizedintoLMA-ProSeal(L)groupandtrachealtube(T)groupwith60caseseach．HR，MAP，P—k，Sp

5、O2，PetCO2，intraoperativeandpostoperativecomplicationsweremeasuredbeforein—tubation，afterintubation，andimmediatelyafterextubation．ResetsAsforhemodynamicchanges，thereweresignificantdifferencesinchangesofHR，MAPduringintubationandextubationbetweengroupLandgroupT(P<0．05)．Asforlu

6、ngventilationeffect，SpO2，PetCO2，Ppeakvaluechangeswiththeinfluenceofanesthesiaoperationwereconsistent，andtherewerenosignificantdifferencesbe—tweengroups．Asforcomplications，thereweresignificantdifferencesinincidencesofrestlessnessandcoughingandpostoperativethroatdiscomfortbet

7、weengroupTandgroupL(P<0．05)．ConclusionsLMA—ProSealapplicationinLCsurgeryofelderlypatientswithessentialhypertensionissafeandeasiertooperate，whichhastheadvantagesoflightercardiovascularstressresponse，lungventilationsatisfaction，fasterwake，lowerincidenceofthroatcomplication．Ke

8、ywords：LMA—ProSeal；anesthesiainelderly；laparoscopiccholecystectoy腹腔镜胆囊切除术(LC)的CO，气