双腔Supreme喉罩对妇科腹腔镜手术患者循环和通气功能的影响

双腔Supreme喉罩对妇科腹腔镜手术患者循环和通气功

能的影响

宋秀荣

【期刊名称】《中国实用医刊》 【年(卷),期】2013(040)017

【摘要】Objective To compare the effects of supreme laryngeal mask airway(LMA) and endotracheal intubation(ET) on hemodynamics and respiratory

function

in

patients

underwent

laparoscopic

cholecystectomy.Methods Eighty patients(ASA class Ⅰ or Ⅱ),scheduled for laparoscopic cholecystectomy under general anesthesia were randomly divided into LMA group (n =40) and ET group (n =40)with mechanical ventilation.MAP,HR and SpO2 were recorded before anesthesia

induction(T0),before

intubation

(T1),after

intubation

immediately (T2),3 min after intubation(T3),before extubation(T4),after extubation immediately(T5),3 min after extubation(T6).The tidal volume(VT),minute ventialtion(MV),peak inspiratory pressure(Ppeak) and PETCO2 were recorded at 5 min(T7),15 min(T8),30 min(T9) of deflation.And the adverse reactions such as hypoxemia,cough,nausea and vomiting,hoarseness,sore throat,regurgitation and aspiration were recorded.Results MAP in LMA and ET group at T1 was significantly lower than those at T0.In group ET,HR and MAP were significantly higher than those in group LMA at T2,T3,T5,T6 (P ＜ 0.05).There was no significant