七氟醚不同诱导方法在妇科腹腔镜手术中的应用

目的观察七氟醚不同诱导方法在妇科腹腔镜手术中的应用效果。方法择期行妇科腹腔镜手术患者60例,随机分为面罩肺活量吸入法诱导组(A组)与面罩潮气量吸入法诱导组(B组)。记录睫毛反射消失时间、喉罩插入时间、血流动力学指标、喉罩拔除时间、意识恢复时间及不良反应。结果 A组睫毛反射消失时间短于B组(P<0.01);A组喉罩插入时间短于B组(P<0.01);2组拔除喉罩时间、意识恢复时间、不良反应的发生率差异无统计学意义。结论 2种七氟醚吸入诱导方法均可获得良好的喉罩插入条件,面罩肺活量吸入诱导法起效更为迅速。

Comparison of different induction methods of sevoflurane inhalation in patients underwent laparoscopic gynecological surgery

Objective To compare the different induction methods of sevoflurane inhalation in patients underwent laparoscopic gynecological surgery.Methods Sixty patients undergoing elective laparoscope gynecological surgery were randomly and equally divided into anesthesia induction with vital capacity group(group A) and with tidal volume group(group B).The time to eyelash reflex lost,the end of laryngeal mask airway insertion,the laryngeal mask airway removement,consciousness recovery,hemodynamic variables and adverse events were recorded.Results The time to eyelash reflex lost in group A was shorter than that in group B(P<0.01).So did the time for laryngeal mask airway insertion(P<0.01).There were no significant differences in the times of laryngeal mask airway removement,consciousness recovery, and adverse events between two groups.Conclusion The two induction methods of sevoflurane inhalation can provide excellent condition of laryngeal mask airway insertion,of which the onset time of anesthesia induction with vital capacity is shorter than that with tidal volume technique.