摘要
目的分析基于快速康复外科理念的喉罩全身麻醉对腹腔镜异位妊娠手术患者苏醒期躁动的影响。方法选取我院2022年3月—2023年3月收治的80例异位妊娠患者为研究对象,使用抽签法将所有患者分为对照组和研究组,每组40例。所有患者均接受腹腔镜手术治疗,对照组采用常规气管插管全身麻醉,研究组采用基于快速康复外科理念的喉罩全身麻醉。比较两组患者不同时间段血流动力学指标变化、麻醉恢复情况、不同时间段警觉/镇静观察评分(OAA/S)、苏醒期躁动发生率、麻醉不良反应发生率。结果研究组置入时及苏醒后15 min的心率分别为(78.35±5.57)次/分、(88.48±6.32)次/分,均慢于对照组的(91.12±5.34)次/分、(92.11±6.13)次/分,平均动脉压分别为(87.13±15.21)mmHg(1 mmHg=0.133 kPa)、(90.59±14.83)mmHg,均低于对照组的(102.77±16.31)mmHg、(99.31±15.11)mmHg。而脉搏氧饱和度分别为(97.53±2.02)%、(98.10±1.22)%,均高于对照组的(96.37±2.13)%、(97.14±1.09)%,组间差异有统计学意义(P<0.05)。研究组术后呼吸恢复时间、意识恢复时间、拔管时间均短于对照组,组间差异有统计学意义(P<0.05)。研究组苏醒后15 min、苏醒后30 min的OAA/S评分高于对照组,组间差异有统计学意义(P<0.05)。研究组苏醒期躁动发生率低于对照组,差异有统计学意义(P<0.05)。研究组不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论使用基于快速康复外科理念的喉罩全身麻醉可减少对腹腔镜异位妊娠手术患者血流动力学的影响,有利于术后麻醉恢复,减少苏醒期躁动,预防不良事件的发生。
Objective To analyze the impact of laryngeal mask anesthesia based on the concept of rapid rehabilitation surgery on restlessness during recovery in patients undergoing laparoscopic ectopic pregnancy surgery.Methods 80 patients with ectopic pregnancy admitted to our hospital from March 2022 to March 2023 were selected as the study objects and randomly divided into a control group(n=40)and a study group(n=40).All patients underwent laparoscopic surgery.The control group received general anesthesia with tracheal intubation,while the study group received general anesthesia with laryngeal mask based on rapid recovery surgery concept.The changes in hemodynamic indexes,anesthesia recovery,vigilance/sedation observation score(OAA/S),incidence of agitation during recovery,and incidence of adverse anesthesia reactions were compared between two groups at different time periods.Results The heart rate of the study group was(78.35±5.57)times/min and(88.48±6.32)times/min,respectively,which were slower than(91.12±5.34)times/min and(92.11±6.13)times/min of the control group,respectively,the mean arterial pressure was(87.13±15.21)mmHg(1 mmHg=0.133 kPa)and(90.59±14.83)mmHg,respectively,which were lower than(102.77±16.31)mmHg and(99.31±15.11)mmHg of the control group,respectively,the pulse oxygen saturation was(97.53±2.02)%and(98.10±1.22)%,respectively,higher than(96.37±2.13)%and(97.14±1.09)%of the control group,the differences between groups were statistically significant(P<0.05).The respiratory recovery time,consciousness recovery time and extubation time of the study group were shorter than those of the control group,and the differences between the groups were statistically significant(P<0.05).OAA/S scores 15 min and 30 min after awakening in the study group were higher than those in the control group,and the difference was statistically significant(P<0.05).The incidence of agitation in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).The incidence of adverse reactions in the study group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion General anesthesia of laryngeal mask based on the concept of rapid rehabilitation surgery can reduce the impact on hemodynamics in patients undergoing laparoscopic ectopic pregnancy surgery,facilitate the recovery of postoperative anesthesia,reduce agitation during the waking period,and prevent the occurrence of adverse events.
作者
史敏
SHI Min(Operating Room,Nanjing Jiangning Hospital of Traditional Chinese Medicine,Jiangsu Province,Nanjing Jiangsu,211100,China)
出处
《反射疗法与康复医学》
2023年第17期144-148,共5页
Reflexology And Rehabilitation Medicine
关键词
异位妊娠
腹腔镜手术
快速康复外科理念
喉罩全身麻醉
Ectopic pregnancy
Laparoscopic surgery
Rapid rehabilitation surgical concept
Laryngeal mask general anesthesia
作者简介
史敏(1979-),女,江苏南京人,本科,副主任护师,研究方向:手术室麻醉护理。
