Supreme TM喉罩在腹腔镜腹股沟疝手术中的麻醉效果及对应激指标的影响

目的探究Supreme^TM喉罩与气管插管在腹腔镜腹股沟疝手术中的效果及对应激指标的影响。 方法将2021年2至10月于徳驭医疗马鞍山总医院接受治疗的62例腹股沟疝患者随机分为对照组和观察组，每组患者31例。对照组采用气管插管进行腹腔镜腹股沟疝手术，观察组采用Supreme^TM喉罩进行腹腔镜腹股沟疝手术，对比2组各时间点麻醉诱导前（T0）、插入气管或喉罩时（T1）、插入5 min时（T2）、拔除气管或者喉罩时（T3）]血流动力学指标，麻醉质量（睁眼时间、拔管时间及完全清醒时间），各时间点气道峰压及气道密闭压变化情况，不良反应发生率。 结果（1）T1、T2、T3时间点，2组患者平均动脉压（MAP）和心率水平较T0时间点明显升高，且观察组MAP、心率水平低于对照组（P<0.05）；（2）观察组睁眼时间、拔管时间和完全清醒时间均低于同期对照组（P<0.05）；（3）与对照组相比，观察组患者在T1~T3时气道峰压以及气道密闭压方面均显著下降（P<0.05）；（4）观察组的不良反应总发生率低于对照组（P<0.05）。 结论Supreme^TM喉罩较气管插管在腹腔镜腹股沟疝手术中的麻醉效果更好，且不良反应少、安全性高。

Effect of Supreme TM laryngeal mask on anesthesia in laparoscopic inguinal hernia surgery and its influence on stress index

ObjectiveTo investigate the effect of Supreme^TM laryngeal mask and endotracheal intubation in laparoscopic inguinal hernia surgery and its influence on stress index. Methods62 patients with inguinal hernia who came to Deyu Medical Maanshan General Hospital for treatment from February to October 2021 were randomly divided into the control group and the observation group, with 31 patients in each group. The control group received laparoscopic inguinal hernia surgery using endotracheal intubation. The observation group adopts Supreme^TM laryngeal mask laparoscopic inguinal hernia surgery. The hemodynamic index at each time point before anesthesia induction (T0), when the trachea or laryngeal mask was inserted (T1), 5 min after inserting (T2), removing the trachea or laryngeal mask (T3)], anesthesia quality (eye-opening time, extubation time, fully awake time), changes in airway peak pressure and airway closed pressure at each time point, and incidence of adverse reactions were compared between the two groups. Results(1) At T1, T2 and T3, mean arterial pressure (MAP) and heart rate (HR) levels in 2 groups increased significantly compared with T0, and MAP and HR levels in the observation group were lower than those in the control group (P<0.05). (2) The eye-opening time, extubation time and full awake time in the observation group were significantly lower than those in the control group during the same period (P<0.05); (3) Compared with the control group, the peak airway pressure and airway closed pressure of the observation group reduced significantly at T1-T3 (P<0.05); (4) The overall incidence of adverse reactions in the observation group was significantly lower than that in the control group (P<0.05). ConclusionSupreme^TM laryngeal mask has better anesthesia effect than endotracheal intubation in laparoscopic inguinal hernia surgery, with fewer adverse reactions and higher safety.