喉罩用于妇科腹腔镜手术的临床观察及护理对策

目的 探讨喉罩用于妇科腹腔镜手术的效果与护理经验.方法 选取择期行妇科腹腔镜手术患者80例,随机分为喉罩组(L组)及对照组(C组)各40例.L组用喉罩全麻下手术,C组气管插管全麻下手术,监测诱导前、通气道置入时、气腹时、拔除通气道时的生命体征(平均动脉压、心率、SpO2)及呼气末二氧化碳分压(PETCO2),比较2组间恶心、呕吐、喉痉挛、咽痛、声嘶、反流误吸的发生率.结果 C组中平均动脉压(MAP)与心率在通气道置入后即时及拔除通气道时均比L组升高,2组间SpO2与PETCO2在各时间点无显著差异.C组恶心、咽痛、声嘶发生率较L组高,喉痉挛、呕吐与反流误吸在2组间无显著差异. 结论喉罩应用于妇科腹腔镜手术不良反应发生率低,临床效果良好,便于围手术期护理.

Clinical observation in application of laryngeal mask airway in gynaecological laparoscopy and its nursing countermeasures

Objective To explore the effect of laryngeal mask airway used in gynaecological laparoscopy and the nursing experience. Methods 80 selected patients undergoing gynaecological laparoscopy were divided into two equal-sized groups for airway management with the laryngeal mask airway group(L group)and the control group(C group). MAP、HR、SPO2、PETCO2 of all patients were observed at before induction, at airway insertion, at pneumoperitoneum, at airway removal. The ratio of postoperative nausea、vomiting、laryngismus、pharyngalgia、cerchnus、back streaming and aspiration were recorded. Results MAP and HR increased significantly in C group than L group at airway insertion and removal. SPO2 and PETCO2 had no significant difference in two groups at any time. The ratio of postoperative nausea、pharyngalgia、cerchnus was respectively higher in C group than L group. The ratio of laryngismus、vomitiong、backstreaming and aspiration in L group was similar with C group. Conclusions Laryngeal mask airway is an effective airway device for gynaecological laparoscopy, it has low incidence of complication, and make nursing care easy during operation.