喉罩在老年患者腹腔镜胆囊切除术全身麻醉中的应用

目的:探讨喉罩在老年患者全身麻醉中应用的安全性和有效性.方法:选择行腹腔镜胆囊切除术老年患者全身麻醉手术40例,ASAⅠ～Ⅲ 级,随机双盲分为喉罩置入组(L组,n=20)和气管内插管组(T组,n=20).记录麻醉诱导前(T0)、插入喉罩/气管导管前(T1)、插入喉罩/气管导管后即刻(T2)、插入喉罩/气管导管后 5 min(T3)、拔出喉罩/气管导管前(T4)、拔出喉罩/气管导管后即刻(T5)、拔出喉罩/气管导管后 5 min(T6)患者收缩压、舒张压、心率;记录围手术期患者相关并发症.结果:插管/拔管期间L组血流动力学较T组稳定.围手术期T组相关发症均显著多于L组(P<0.01).结论:喉罩通气道用于老年腹腔镜胆囊切除术是一种安全、可靠、有效、易行的方法.

The application of laryngeal mask in laparoscopic cholecystectomy of elderly patients with general anesthesia

Objective:To investigate the safety and effectiveness of laryngeal mask(LMA) in elderly patients with general anesthesia.Methods:Forty ASA Ⅱ-Ⅲ elderly patients with laparoscopic cholecystectomy under general anesthesia were randomly divided into LMA group(group L,20 cases) and endotracheal intubation group(group T,20 cases).The data of systolic pressure(SBP),diastolic blood pressure(DBP) and heart rate(HR) were recorded at the time of before induction of anesthesia(T0),before LMA insertion/trachea catheter(T1),insertion of tracheal catheter(T2),5 min after insertion of the laryngeal mask/tracheal catheter(T3),before pull out the LMA/trachea catheter(T4),pull out the LMA/tracheal catheter(T5) and 5 min after pull out the LMA/ tracheal catheter.The complications were recorded during the perioperative period.Results:The hemodynamics of group L was stable compared with group T during intubation/extubation.The complications of perioperation period of group T were significantly more than those of group L(P<0.01).Conclusions:Laryngeal mask for elderly patients undergoing laparoscopic cholecystectomy is a safe and effective method.