双管喉罩在妇科腹腔镜手术中应用的临床研究

目的：探讨双管喉罩在妇科腹腔镜手术中应用的可行性和安全性。方法：选取我院收治的拟全麻下施行妇科腹腔镜手术患者60例。按随机双盲原则分为双管喉罩组（PLMA组）和气管插管组（TT组）,观察记录气道峰压（Pmax）、气道平均压（Pmean）、潮气量（VT）、分钟通气量（MV）、呼气末二氧化碳分压（PETCO2）、术后并发症。结果：两组麻醉时间、气腹时间、拔管（罩）时间、苏醒时间、Pmax、Pmean、VT、MV、PETCO2等指标组间比较,无显著性差异（P〉0.05）。PLMA组术后并发症发生率少于TT组（P〈0.05）。结论：PLMA通气效果确切、术后并发症少,应用于妇科腹腔镜手术安全可行。

Clinical Study of Proseal Laryngeal Mask Airway in Gyneacological Laparoscopy Surgery

Objective： To observe the safety and efficacy of proseal laryngeal mask airway used in gyneacological laparoscopy surgery. Method： 60 patients were randomly allocated to either PLMA group or TT group. After anesthesia induction and tracheal tube or proseal laryngeal mask,Pmax,Pmean,VT,MV,PETCO2and postoperative complications were monitored. Result： The anesthesia time,pneumoperitoneum time,extubation time,awaking time,Pmax,Pmean,VT,MV,PETCO2of two groups were no significant difference（ P＆gt;0.05）.The incidence of postoperative complications of PLMA group was less than the TT group（ P＆lt;0.05）. Conclusion： PLMA can provide the same safe and effective ventilation as tracheal intubation gynaecological laparoscopy.