文章摘要
陈新生 李雄刚 周本健 王宇飞 刘建华.Proseal与Slipa喉罩在腹腔镜胆囊切除术中的麻醉效果比较[J].,2017,17(3):529-531
Proseal与Slipa喉罩在腹腔镜胆囊切除术中的麻醉效果比较
A Comparative Study on the Anesthetic Effect of Proseal and SLIPALaryngeal Mask Airway in Laparoscopic Cholecystectomy
  
DOI:
中文关键词: Proseal喉罩  Slipa 喉罩  腹腔镜胆囊切除术
英文关键词: ProSeal laryngeal mask airway  SLIPA laryngeal mask airway  Laparoscopic cholecystectomy
基金项目:湖北省自然科学基金项目(2005ABA080)
作者单位
陈新生 李雄刚 周本健 王宇飞 刘建华 天门市第一人民医院麻醉科南方医科大学第五附属医院麻醉科 
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中文摘要:
      目的:比较proseal与slipa喉罩在腹腔镜胆囊切除术中的麻醉效果。方法:收集我院收治的68 例胆囊行腹腔镜胆囊切除术 患者,随机分为A 组和B 组,每组各34 例,A组患者应用slipa 喉罩,B 组患者应用proseal 喉罩进行麻醉。观察并比较两组患者 各时间点血压、心率水平,患者麻醉时间、苏醒时间、喉罩插入时间与拔除时间以及患者的不良反应发生率。结果:与喉罩置入前 相比,两组患者手术中收缩压(SBP)以及舒张压(DBP)水平均下降,差异具有统计学意义(P<0.05)。两组患者各时间点的血压以、心 率、麻醉时间及苏醒时间比较差异均无统计学意义(P>0.05)。与B 组相比,A 组患者的喉罩插入时间较长,喉罩沾血的发生率较 高,差异具有统计学意义(P<0.05)。结论:Pro seal 与Slipa 喉罩在腹腔镜胆囊切除术中的麻醉效果相当,但Slipa 喉罩的插入时间 以及喉罩沾血的发生率更高。
英文摘要:
      Objective:To investigate the efficacy of ProSeal and SLIPA laryngeal mask airway in laparoscopic cholecystectomy.Methods:68 cases of gallbladder carcinoma who were treated with laparoscopic cholecystectomy were selected and randomly divided into group A and group B, with 34 cases in each group. The patients in group A were treated with SLIPA laryngeal mask airway, while the patients in group B were treated with ProSeal laryngeal mask airway. Then the blood pressure and heart rate in each time point, the anesthesia time, recovery time, the time of insertion of laryngeal mask and the incidence of adverse reactions were observed and compared between the two groups after the treatment.Results:Compared with before laryngeal mask insertion, the systolic blood pressure (SBP) and diastolic blood pressure (DBP) decreased in the two groups during the operation, and the differences were statistically significant (P<0.05); There was no statistically significance difference of blood pressure, heart rate, the anesthesia time and the recovery time in two groups at each time point of the operation (P>0.05); Compared with group B, laryngeal mask insertion time of group A was longer, and the difference was statistically significant (P<0.05); Compared with group B, the laryngeal mask and stained with blood rate were higher in group A, and the differences were statistically significant (P<0.05).Conclusion:The anesthetic effect of seal Pro and Slipa laryngeal mask airway in laparoscopic cholecystectomy is comparable, but the time of insertion of Slipa laryngeal mask airway and the incidence of laryngeal mask airway is higher.
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