資源描述：
《喉罩下全憑吸入七氟醚維持麻醉用于腹腔鏡膽囊切除術(shù)的臨床觀察.pdf》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在行業(yè)資料-天天文庫。
1、20l3年l1月第3卷第21期·麻醉與鎮(zhèn)痛·喉罩下全憑吸入七氟醚維持麻醉用于腹腔鏡膽囊切除術(shù)的臨床觀察詹利付前聰李家寬’1．安徽醫(yī)科大學(xué)附屬六安市人民醫(yī)院麻醉科，安徽六安237005；2．安徽醫(yī)科大學(xué)附屬六安市人民醫(yī)院腫瘤外科，安徽六安237005【摘要】目的探討在腹腔鏡膽囊切除手術(shù)中應(yīng)用喉罩通氣全憑吸人七氟醚維持麻醉的臨床安全性。方法擇期行LC的患者60例，隨機(jī)均分為七氟醚組(A組)和全憑靜脈組(B組)。A組采用七氟醚全憑吸人麻醉維持，B組采用丙自酚、舒芬太尼和羅庫溴銨麻醉維持。監(jiān)測(cè)并記錄麻醉前后的血流動(dòng)力學(xué)指標(biāo)；記錄喉罩拔除時(shí)間，觀察恢復(fù)期不良反應(yīng)情況。結(jié)果兩組術(shù)中
2、生命體征差異無統(tǒng)計(jì)學(xué)意義(P>0．05)，但A組拔管時(shí)間短于B組(P<0．05)，且不良反應(yīng)發(fā)生率較B組少(P<0．05o結(jié)論LC采用喉罩通氣全憑吸入七氟醚麻醉維持，能滿足喉罩置人及外科手術(shù)操作的麻醉要求，操作方便、安全性高。[關(guān)鍵詞】喉罩；吸入麻醉；七氟醚；腹腔鏡膽囊切除術(shù)【中圖分類號(hào)】R614【文獻(xiàn)標(biāo)識(shí)碼】B【文章編號(hào)】2095—0616(2013)21—1O7一O2ClinicalObservationofsevofluraneinhalationanesthesiadependsonlaryngealmaskinlaparoscopiccholecystecto
3、myZHANLiFUQiancongLIJia／~an1．DepartmentofAnesthesiology，Lu’anPeople’SHospitalAffiliatedtoMedicalUniversityofAnhui，Lu’an237005，China；2．DepartmentofSurgicalOncology，Lu’anPeople’SHospitalAffiliatedtoMedicalUniversityofAnhui，Lu’an237005，ChinaIAbstract】ObjectiveToexploretheclinicalsafetyofsev
4、ofluraneinhalationmaintenanceanesthesiawithlaryngealmaskairwayinlaparoscopiceholecysteetomy．Methods60patientsundergoingselectiveLCwereselectedandrandomly，dividedintosevofluranegroup(groupA)andtotalintravenousgroup(Bgroup)．GroupAweremaintainedanesthesiawithsevofluraneinhalation，groupBwere
5、maintainedanesthesiawithDisoprofol，SufentanilandRocuroniumBromide．MAP，HRandSpO，weremonitoringandrecordingbefore，duringandafteranesthesia．Thetimebetweentheendofoperationandlaryngealmaskremovewererecorded．Adversereactionswereobservedwhentheywereconvalescent．ResultsTherewerenosignificantdif
6、erencesinvitalsignsoftwogroups(尸>0．05)，butthetimebetweentheendofoperationandlaryngealmaskremoveofgroupAwasshorterthanthatofgroupB<0．05)，convalescentincidenceofadversereactionwasalsolessthanthatofBgroupfP<0．05)．ConclusionByusingsevofluraneinhalationanesthesiawithLaryngealmaskinLC，therequi
7、rementsoflaryngealmaskpalcementandsurgicaloperationcanbemetandconvenientoperation，highsafety．【Keywords1Laryngealmask；Inhalationanesthesia；Sevoflurane；Laparoseopiceholeeysteetomy喉罩是介于面罩和氣管導(dǎo)管之間的通氣裝置，應(yīng)用1．2麻醉方法于全麻氣道管理具有操作簡(jiǎn)單、不暴露聲門、刺激小等諸兩組術(shù)前均給予鹽酸戊乙奎醚(成都力思特制藥股份公多優(yōu)點(diǎn)?。本研究比較腹腔鏡膽囊切除
