论文部分内容阅读
[背景]观察喉罩全身麻醉在甲状腺瘤切除术中的应用效果.[病例报告]选择在全身麻醉下行甲状腺瘤切除术的患者60例,ASA分级为1~2级,未见有明显的心血管系统疾病和呼吸系统疾病.将60例患者随机分为喉罩组(H组)和气管内插管组(Q组),每组各为30例.给H组患者插入喉罩,给Q组插入气管内导管,观察两组麻醉诱导期、维持期、苏醒期的血压、心率、麻醉维持期的气道压力及苏醒期躁动、呛咳情况.结果见,与Q组比较,H组麻醉诱导期、苏醒期的血压及心率明显降低(P<0.05),苏醒期躁动、呛咳次数明显减少(P<0.05),两组麻醉维持期的气道压力间差异无统计学意义(P>0.05);两组均未见发生呼吸道梗阻等呼吸道不通畅情况.[讨论]喉罩全身麻醉下行甲状腺瘤切除术时血压、脉搏较平稳,苏醒期躁动和呛咳较少.甲状腺瘤切除术中喉罩全身麻醉是比较安全可靠的麻醉方法.
[Background] To observe the effect of laryngeal mask general anesthesia in thyroidectomy. [Case Report] Sixty patients undergoing thyroidectomy under general anesthesia were enrolled. ASA was graded as grade 1 to 2 and no obvious heart was found Vascular diseases and respiratory diseases.All 60 patients were randomly divided into laryngeal mask group (H group) and endotracheal intubation group (Q group) Group was intubated into the endotracheal tube to observe the induction of anesthesia, maintenance period, recovery of blood pressure, heart rate, anesthesia maintenance period of airway pressure and recovery of restlessness, cough situation.Results, with the Q group, H group anesthesia During the induction and recovery phases, the blood pressure and heart rate were significantly decreased (P <0.05), the restlessness and the number of coughs were significantly decreased during recovery (P <0.05), and there was no significant difference in airway pressure between the two groups during anesthesia maintenance (P> 0.05); no respiratory tract obstruction and other respiratory tract obstruction occurred in both groups. [Discussion] Laryngeal mask under general anesthesia for thyroidectomy, blood pressure, pulse is relatively stable, restlessness and cough during recovery less thyroidectomy Laryngeal mask general anesthesia is more safe and reliable method of anesthesia.