摘要
目的观察双通道喉罩全麻在经尿道钬激光碎石术中的应用效果。方法选择2018年4月-2019年4月我院行经尿道钬激光碎石术患者86例,按照随机数字表法分为2组,各43例。对照组接受椎管内麻醉,观察组患者接受双通道喉罩全麻,对比2组麻醉优良率,观察2组麻醉前、麻醉30 min及手术结束时的血流动力学指标变化情况,并对比并发症发生情况。结果与对照组相比(97.67%),观察组总优良率(83.72%)较高(P<0.05)。2组患者麻醉前的MAP、HR及SpO2的水平无显著差异(P>0.05);观察组麻醉30 min及手术结束时MAP较对照组低,而HR较对照组高(P<0.05)。与对照组(23.26%)相比,观察组术后并发症总发生率(6.98%)较低(P<0.05)。结论双通道喉罩全麻应用于经尿道钬激光碎石术中对患者的血流动力学影响较小,且可降低并发症发生率,安全有效。
Objective To observe the application of dual-channel laryngeal mask general anesthesia in transurethral holmium laser lithotripsy.Methods 86 patients who underwent transurethral holmium laser lithotripsy in our hospital from April 2018 to April 2019 were selected and divided into two groups according to the random number table method,43 cases each.The control group received spinal anesthesia,and the observation group received general anesthesia with a dual-channel laryngeal mask.Compared the excellent rate of anesthesia between the two groups,observed the changes of hemodynamic indexes before anesthesia,30 minutes after anesthesia and at the end of surgery in two groups,and compared the occurrence of complications between the two groups.Results Compared with the(97.67%)of the control group,the total excellent rate(83.72%)of the observation group was higher(P<0.05).There was no significant difference in the levels of MAP,HR and Sp02 before using anesthesia between the two groups of patients(P>0.05);the MAP of the observation group was lower than that of the control group after 30 minutes of anesthesia and at the end of surgery,while the HR was higher than that of the control group(P<0.05)Compared with the control group(23.26%),the total incidence of postoperative complications(6.98%)in the observation group was lower(P<0.05).Conclusion The application of dual—channel laryngeal mask general anesthesia in transurethral holmium laser lithotripsy has little effect on the patient's hemodynamics,and can reduce the incidence of complications,which is safe and effective as well.
作者
夏凌云
陈惠娟
黄诚
钟瑞生
Xia Lingyun;Chen Huijuan;Huang Cheng(The People's Hospital of Fenyi County,Fenyi,Jiangxi 336600)
出处
《基层医学论坛》
2020年第32期4596-4598,共3页
The Medical Forum
基金
新余市科技计划指导性项目。
关键词
经尿道钬激光碎石术
全麻
双通道喉罩
血流动力学
并发症
Transurethral holmium laser lithotripsy
General anesthesia
Dual-channel laryngeal mask
Hemodynamics
Complication
