欧普乐喉罩在腹腔镜肝癌射频消融术全麻中的临床应用.pdf

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1、经验交流Jingyanjiaoliu《中国医学创新》第11卷第15期(总第297期)2014年5月欧普乐喉罩在腹腔镜肝癌射频消融术全麻中的临床应用牟峰①孙丽①【摘要】目的：评价欧普乐喉罩通气在腹腔镜肝癌射频消融术全麻中应用的安全性和可行性。方法：选择4O例择期全麻腹腔镜肝癌射频消融术患者，ASA11～Ⅲ级，按随机数字表法分为欧普乐喉罩组(A组)和气管内插管组(B组)各20例。观察记录两组患者在麻醉诱导前(TO)、插入喉罩或气管导管前(T1)、插入喉罩或气管导管后即刻(T2)、插入喉罩或气管导管后5min(T3)、拔除喉罩或气管导管后即刻(T4)，5个时

2、间点的收缩压(SBP)、舒张压(DBP)、心率(HR)与脉搏血氧饱和度(SpO：)。并记录麻醉相关并发症。结果：B组T1与T4时点的SBP、DBP和HR水平均明显高于A组，差异均有统计学意义(P<0．05)；A组呛咳、苏醒期躁动、术后咽痛、痰多等并发症明显少于B组，差异均有统计学意义(P<0．05)c结论：欧普乐喉罩通气应用于腹腔镜肝癌射频消融术，较气管内插管全麻围术期循环功能更加稳定，麻醉相关并发症更少。【关键词】欧普乐喉罩；腹腔镜；肝癌；射频消融；全麻ClinicalApplicationofOPLAC-LMADuringGeneralAnesth

3、esiaUndergoingLaparoscopicRadiofrequencyAblationforHepaticCarcinomafMOUFeng，SUNLid／MedicalInnovationofChina，2014，11(15)：142-145【Abstract】objective：ToinvestigatethesafetyandfeasibilityofOPLAC-LMAventilationduringgeneralanesthesiaundergoinglaparoseopicmicrowaveablationforhepaticca

4、rcinoma．Method：Fortypatientswithhepaticcarcinomaforelectivelaparoscopicmicrowaveablation，ASAⅡ一Ⅲgrade，wererandomlydividedintotwogroups，20casesineachgroup．VentilationwasperformedwithOPLAC-LMA(thegroupA)ortrachealintubation(thegroupB)．Thesystolicbloodpressure(SBP)，diastolicbloodpre

5、ssure(DBP)，heartrate(HR)，pulseoxygensaturation(Sp02)ofpatientsbeforeanesthesiainduction(TO)，before(T1)andimmediatelyafter(T2)and5minutesafter(T3)intubationorOPLAC—LMAinsertion，thetimeofextubationorOPLAC—LMApulled(T4)wereobserved．Relatedanesthesiacomplicationswererecorded．Result：

6、SBP，DBPandHRatT1andT4inthegroupBpatientsweresignificantlyhigherthanthoseinthegroupA，thediferenceswerestatisticallysignificant(P<0．05)．Incidencesuchascough，emergenceagitation，postoperativesorethroatandphlegmandothercomplicationsinthegroupAweresignificantlylessthosethatinthegroupB

7、，thediferenceswerestatisticallysignificant(P<0．05)．Conclusion：ApplicationofOPLAC—LMAventilationundergoinglaparoscopicmicrowaveablationforhepaticcarcinoma，hasmorestableperioperativecirculation，lowerrelatedanesthesiacomplicationsthanthatoftraehealintubationduringgeneralanesthesia．

8、【Keywords】OPLAC—laryngealmaskairway；Laparoscope