喉罩麻醉与气管插管麻醉在单孔胸腔镜双侧胸交感神经T3/T4切断术的比较分析

目的:对比分析喉罩麻醉与气管插管麻醉在单孔胸腔镜双侧胸交感神经T3/T4切断术中的临床应用效果。方法:采用病例对照研究方法，回顾性分析2017年1月至2021年10月揭阳市人民医院胸心外科行微创手术治疗的80例重度手汗症患者的临床资料，按照麻醉的方式划分为喉罩麻醉（Ⅰ组，40例）和气管插管麻醉（Ⅱ组，40例）2组。Ⅰ组...

Comparative analysis of laryngeal mask anesthesia and endotracheal intubation anesthesia in single-hole thoracoscopic bilateral thoracic sympathectomy T3/T4

Objective　To compare and analyze the clinical effects of laryngeal mask anesthesiaand endotracheal intubation anesthesia in single-hole thoracoscopic bilateralthoracic sympathectomy T3/T4. Methods　It was a case controlstudy. The clinical data of 80 patients with severe palmar hyperhidrosis whounderwent minimally invasive surgery in the department of cardiothoracicsurgery of Jieyang People's Hospital from January 2017 to October 2021 wereretrospectively analyzed. They were divided into two groups, undergoinglaryngeal mask anesthesia (group Ⅰ, 40 cases) andendotracheal intubation anesthesia (group Ⅱ, 40 cases) respectively. There were 21 malesand 19 females in group Ⅰ, aged (20.8±4.6)years; there were 17 males and 23 females in group Ⅱ, aged (20.9±4.7) years. The total hospitalstay, postoperative hospital stay, anesthesia cost, hospitalization cost,visual field exposure score, anesthetic effect score, operation time, anesthesiatime, incidence of postoperative complications, and other indicators werecompared. Independent sample t testwas used for the measurement data conforming to normal distribution, rank sumtest was used for the measurement data conforming to abnormal distribution orthe grade data, and Chi-square test or Fisher's exact probability method wasused for the count data. Results　The total length ofstay in group Ⅰ was 2.0 (2.0, 2.0)d, the postoperative length of stay was 1.0 (1.0, 1.0) d, the anesthesia costwas (2 442.9±420.2) Yuan, the total hospitalization cost was (10 848.2±1 238.4)Yuan, and the anesthesia time was (75.1±18.0) min, the total length of stay ingroup Ⅱ was 3.0 (3.0, 4.0)d, the postoperative length of stay was 2.0 (2.0, 3.0) d, the anesthesia costwas (2 883.7±242.3) Yuan, the total hospitalization cost was (12 739.5±917.1)Yuan, and the anesthesia time was (97.9±23.1) min, the above indexes in group Ⅰ were better than those in group Ⅱ, and the incidence of throat pain in group Ⅰ was significantly lower than that in group Ⅱ, with statistically significant differences(all P<0.05). There were nostatistically significant differences in the visual field exposure score,anesthetic effect score, operation time, and incidences of other postoperativecomplications between the two groups (all P>0.05). Conclusions　Laryngeal maskanesthesia is safe and effective in single-hole thoracoscopic bilateralthoracic sympathectomy T3/T4. It is suitable for accelerated rehabilitationsurgery after minimally invasive surgery for palmar hyperhidrosis.