硬腰联合麻醉复合喉罩通气在妇科腹腔镜手术中的应用

山东大学学报(医学版)

硬腰联合麻醉复合喉罩通气在妇科腹腔镜手术中的应用

阎俊新，王国义，李秀英，金彦

山东省聊城市第二人民医院麻醉科，山东临清 252600

收稿日期:2007-04-29 修回日期:1900-01-01 出版日期:2007-11-24 发布日期:2007-11-24
通讯作者: 阎俊新

Laryngeal mask airway in combined spinal and epidural anesthesia in gynecological laparoscopic surgery

YAN Jun-xin, WANG Guo-yi, LI Xiu-ying, JIN Yan

Liaocheng Second People′s Hospital, Linqing 252600, Shandong, China

Received:2007-04-29 Revised:1900-01-01 Online:2007-11-24 Published:2007-11-24
Contact: YAN Jun-xin

摘要/Abstract

摘要： 目的探讨硬腰联合麻醉复合喉罩通气在妇科腹腔镜手术中应用的可行性。方法随机将36例患者分为硬腰联合麻醉复合喉罩组（Ⅰ组）、全麻组（Ⅱ组）、硬腰联合麻醉组（Ⅲ组）3组，每组12例。记录各组患者麻醉前后、气腹前后血压（BP）、心率（HR）等指标，观察麻醉效果及并发症发生情况。结果Ⅱ组患者术中全麻用药量明显多于Ⅰ组，且术毕苏醒时间较Ⅰ组、Ⅲ组长，苏醒程度较差，在麻醉及气腹后Ⅱ组患者的BP和HR较麻醉前差异有统计学意义（P＜0.05或P＜0.01），Ⅱ组的BP、HR在气腹后组间比较差异有统计学意义（P＜0.01），Ⅰ组麻醉并发症较少。结论硬腰联合麻醉复合喉罩通气利于维持妇科患者腹腔镜手术中呼吸循环平稳，且安全可行。

关键词: 血流动力学 , 喉罩, 妇科腹腔镜手术, 硬腰联合麻醉

Abstract: Objective To discuss the feasibility of laryngeal mask airway (LMA) in combined spinal and epidural anesthesia (CSEA) in gynecological laparoscopic surgery. MethodsThirty-six patients were randomly divided into the laryngeal mask airway in combination with spinal and epidural anesthesia group（groupⅠ）, the general anesthesia group（groupⅡ）and the combined spinal and epidural anesthesia group（group Ⅲ）. Hemodynamic variables of BP and HR were determined in the anesthesia, and also the anesthesia effects and side effects were determined. ResultsIn group Ⅱthe amount of anesthesia was larger, the time of awareness was significantly longer, and the degree of awareness was worse than in group Ⅰand Ⅲ. Hemodynamic variables of BP and HR were significantly different after anesthesia or pneumpperitoneum from those before anesthesia in group Ⅱ (P＜0.05 or P＜0.01), and they were also significantly different from those after pneumpperitoneum in group Ⅱ（P＜0.01）. Side effects were the lowest in group Ⅰ. Conclusion Laryngeal mask airway in combination with spinal and epidural anesthesia in gynecological laparoscopic surgery is beneficial for hemodynamics and safe.

Key words: Combined spinal and epidural anesthesia, Laryngeal mask airway, Gynecological laparoscopic surgery, Hemodynamics

中图分类号:

R614.27

阎俊新,王国义,李秀英,金彦. 硬腰联合麻醉复合喉罩通气在妇科腹腔镜手术中的应用[J]. 山东大学学报(医学版), 2007, 45(11): 1159-1161.

YAN Jun-xin, WANG Guo-yi,LI Xiu-ying, JIN Yan. Laryngeal mask airway in combined spinal and epidural anesthesia in gynecological laparoscopic surgery[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2007, 45(11): 1159-1161.

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