论文部分内容阅读
目的:比较SLIPA与气管插管在妇科腹腔镜手术全麻中,对血流动力学自标变化得的影响。方法:分别选取25例妇科腹腔镜手术,比较观察SLIPA?通气道与气管插管在妇科腹腔镜手术中对病人的血液动力学及呼吸参数的变化,及术后病人咽痛的发生率。结果:SLIPA组与气管插管组比较,置管后心率、血压无明显变化,2者比较有统计学意义(p<0.05)。2组患者术中均未发生体动,呛咳、呕吐、返流、误吸。术后24h咽痛发生率SLIPA组为0例,明显低于气管插管组12例(12/25,48.0%)。结论:在妇科腹腔镜手术全麻中,SLIPA对血流动力学的影响明显小于气管插管。
Objective: To compare SLIPA and endotracheal intubation in gynecological laparoscopic general anesthesia, hemodynamic changes in the standard. Methods: Twenty-five cases of gynecological laparoscopic surgery were selected. The changes of hemodynamics and respiratory parameters of patients undergoing laparoscopic gynecological laparoscopic surgery with SLIPA ventilation and tracheal intubation were compared. The incidence of postoperative sore throat was also observed. Results: There was no significant difference in heart rate and blood pressure between SLIPA group and tracheal intubation group (P <0.05). There was no body movement, choking, vomiting, reflux and aspiration in the two groups. Postoperative incidence of sore throat in 24 hours was 0 in SLIPA group, which was significantly lower than that in tracheal intubation group (12 / 25,48.0%). Conclusion: In general gynecological laparoscopic surgery, the effect of SLIPA on hemodynamics is significantly less than that of tracheal intubation.