国际麻醉学与复苏杂志   2011, Issue (2): 0-0
    
喉罩与气管插管对腹腔镜胆囊切除术患者术后躁动影响观察
李仁虎, 李元海, 李家宽1()
1.安徽医科大学附属六安医院
Laryngeal mask and tracheal intubation of laparoscopic cholecystectomy patients on observation postoperative restless effect
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摘要:

目的 观察Supreme喉罩预防/减少全麻术后躁动的有效性。方法 选择行腹腔镜胆囊切除手术180例患者,随机双盲分为喉罩置入组(L组,n=90)和气管内插管组(T组,n=90)。全程观察患者在手术间及麻醉后监测治疗室(PACU)中躁动的发生率及程度(按0~3级评估)。结果 术后躁动发生率L组(7.78%)明显低于T组(18.89%)(P<0.01),术后躁动程度L组较T组也明显减轻(P<0.01)。结论 腹腔镜胆囊切除术全麻病人使用Supreme喉罩,能有效预防/减少术后躁动的发生率及程度。

关键词: Supreme喉罩;气管插管;腹腔镜胆囊切除术;术后躁动
Abstract:

Objective To observe Supreme laryngeal mask to prevent/reduce the effectiveness of general anesthesia patients postoperative restless. Methods Choose 180 cases Surgical patients of laparoscopic cholecystectomy, randomized double-blind divided into groups (L group, n = 90) and tube intubation group (T group, n = 90). The incidence and degree of postoperative restless were observed during the operation room and post-anesthesia care unit (PACU) (assessed by 0 to 3). Results The incidence of postoperative restless L group was 7.78%, T group, 18.89%, the difference between the two groups was significant (P <0.01); postoperative restless level of L group than in T group significantly reduced (P <0.01 ). Conclusion. General anesthesia patients of laparoscopic cholecystectomy use Supreme laryngeal mask, can effectively prevent/reduce the incidence and degree of postoperative restless.

Key words: Supreme laryngeal mask; Tracheal intubation; laparoscopic cholecystectomy; Postoperative restless