摘要
目的:探讨羟考酮诱导喉罩通气在腹腔镜胆囊切除术中的应用效果。方法:选取2021年12月—2022年7月于宁夏医科大学附属银川市第三人民医院接受腹腔镜胆囊切除术的患者60例作为研究对象,采用随机数字表法分为对照组与观察组,各30例。两组诱导药物均为依托咪酯、维库溴铵,在此基础上,对照组应用舒芬太尼诱导,观察组应用羟考酮诱导。比较两组麻醉效果。结果:观察组术中降压药应用次数、术后镇痛药应用次数少于对照组,术后肛门排气时间短于对照组,差异有统计学意义(P<0.001)。入室时(T_(0)),两组平均动脉压(MAP)比较,差异无统计学意义(P>0.05);麻醉诱导后(T_(1))、手术切皮时(T_(2))、手术开始30 min后(T_(3))、喉罩拔出后10 min(T_(4)),两组MAP均低于T_(0),但观察组高于对照组,差异有统计学意义(P<0.05)。T_(0)~T_(4),两组心率(HR)比较,差异无统计学意义(P>0.05);T_(1)~T_(4),两组HR均低于T_(0),差异有统计学意义(P<0.05)。观察组不良反应总发生率低于对照组,差异有统计学意义(P=0.044)。结论:羟考酮诱导喉罩通气在腹腔镜胆囊切除术中的应用效果显著,可减少术中降压药、术后镇痛药应用次数,缩短术后肛门排气时间,降低麻醉不良反应总发生率。
Objective:To investigate the application effect of oxycodone induced laryngeal mask ventilation in laparoscopic cholecystectomy.Methods:A total of 60 patients with laparoscopic cholecystectomy in the Third People's Hospital of Yinchuan Affiliated to Ningxia Medical University from December 2021 to July 2022 were selected as the study subjects.They were divided into control group and observation group according to random number table method,with 30 cases in each group.The two groups were induced by etomidate and vecuronium bromide.On this basis,the control group was given sufentanil induction,and the observation group was given oxycodone induction.The anesthesia effects of the two groups were compared.Results:The application times of intraoperative antihypertensive drugs and postoperative analgesics in the observation group were less than those in the control group,and the postoperative anal exhaust time in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.001).At admission(T_(0)),there was no significant difference in mean arterial pressure(MAP) between the two groups(P>0.05).After anesthesia induction(T_(1)),surgical excision(T_(2)),30 min after the start of surgery(T_3),and 10 min after laryngeal mask extraction(T_(4)),MAP in two groups was lower than that at T_(0),but the observation group was higher than the control group,and the difference was statistically significant(P<0.05).At T_(0)-T_(4),there was no statistically significant difference in the heart rate(HR) between the two groups(P>0.05);At T_(1)-T_(4),the HR in the two groups was lower than that at T_(0),and the difference was statistically significant(P<0.05).The total incidence of adverse reactions in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.044).Conclusion:The application effect of oxycodone induced laryngeal mask ventilation in laparoscopic cholecystectomy is remarkable,which can reduce the application times of intraoperative antihypertensive drugs and postoperative analgesics,shorten the postoperative exhaust time,and reduce the overall incidence of adverse anesthesia reactions.
作者
朱丽
闵红星
Zhu Li;Min Hongxing(The Third People's Hospital of Yinchuan Affiliated to Ningxia Medical University,Yinchuan 750004,Ningxia Hui Autonomous Region,China;Department of Anesthesiology,General Hospital of Ningxia Medical University,Yinchuan750004,Ningxia Hui Autonomous Region,China)
出处
《中国社区医师》
2023年第24期32-34,共3页
Chinese Community Doctors
关键词
羟考酮诱导
喉罩通气
腹腔镜胆囊切除术
血流动力学
Oxycodone induction
Laryngeal mask ventilation
Laparoscopic cholecystectomy
Hemodynamics
作者简介
通信作者:闵红星。
