Supreme喉罩全麻在完全腹膜外疝修补术的应用观察.docVIP

Supreme喉罩全麻在完全腹膜外疵修补术的 应用观察 ［ ］H的探讨Supreme喉罩全麻在完全腹膜外疝修补（TEP）手 术的安全性及有效性。方法选择ASA I?II级行完全腹膜外疝修补 术患者60例，随机分为两组，喉罩全麻组（L组）30例；气管插管全 麻组（T组）30例；腹膜前建立间隙并用C02充气，维持压力于lOnini Hg,分别记录记录手术时间、插管（喉罩）前（T1）、插管（喉罩）后 即刻（T2）、充?馇埃?T3）、充气后5min （T4）、拔管（喉罩）前（T5）、 拔管（喉罩）后（T6）时间点的心率（HR）,平均动脉压（MAP）、以及 血气分析测定值（PH、P⑶2、H⑶3）。比较两组患者反流误吸、呛咳以 及术后咽喉痛发生情况。结果手术均顺利完成，T组中，11R和MAP 在插管后有明显升高（P0. 05），而L组无明显变化（P0.05）。PH值 在充气后有一定的下降，PC02和HC03值在充气后有一定幅度的上升 （P〈0. 05），但通过调整呼吸频率或潮气量，仍可以将各指标控制在合 理的安全范围内。结论Supreme喉罩全麻在完全腹膜外疵修补术 （TEP）过程中，血流动力学稳定，术后并发症少，舒适感强，安全可 靠。 和著作权归原 所有，如有不 愿意被转载的情况， 己 ［关键词］喉罩；完全腹膜外疝修补；血流动力学 ［ ］R614 ［ ］A ［ ］2095-0616 (2017) 07-138-03 Observation of supreme laryngeal mask anesthesia in application of totally extraperitoneal prosthesis ZHAN Yinzhou GUO Chunming CHEN Zhaoban CAI Chuyuan ZHANG Zhou Department of Anesthesiology， Shantou Central Hospital, Shantou 515031， China ［Abstract］ Objective To explore safety and effectiveness of Supreme laryngeal mask anesthesia in application of totally extraperitoneal prosthesis (TEP) . Methods 60 patients who underwent totally extraperitoneal prosthesis according with American Society of Anesthesiologists (ASA) I-II grade were selected and they were randomly divided into the laryngeal mask anesthesia group and the general anaesthesia with tracheal intubation group, with 30 in each group. Preperitoneal space was built combined with inflation of C02 and the pressure was maintained at lOmmHg. Heart rate (HR), mean arterial pressure (MAP) and measured value of blood gas analysis (PH、 PC02、 HC03) at operation time, before intubation (laryngeal mask) (Tl)， after intubation (laryngeal mask) instantly (T2), before inflation (T3)， 5 min after inflation (T4)， before extubation (laryngeal mask) (T5), after extubation (laryngeal mask ) ( T6 ) were respectively recorded. Occurrences of countercurrent mistake inhalation ， irritating cough and postoperative sore throat of patients in two groups were compared. Results Operations were all successfully completed. HR a