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文也新,陈俊衡,陈嘉桐,詹银周,郭春明.SaCo可视喉罩在全身麻醉宫腔镜手术中的应用效果[J].中国医药科学,2024,14(11):154-158        基金项目:广东省汕头市医疗卫生科技计划项目(230510106497041)
SaCo可视喉罩在全身麻醉宫腔镜手术中的应用效果
Application effect of SaCo visual laryngeal mask in hysteroscopic surgery under general anesthesia
  
DOI:
中文关键词:  SaCo可视喉罩;全身麻醉;气管插管;宫腔镜
英文关键词:SaCo visual laryngeal mask; General anesthesia; Tracheal intubation; Hysteroscopy
作者单位
文也新,陈俊衡,陈嘉桐,詹银周,郭春明 广东省汕头市中心医院麻醉科,广东汕头 515000 
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中文摘要:
      [摘要] 目的 探讨SaCo可视喉罩在全身麻醉宫腔镜手术中的应用效果。 方法 选取汕头市中心医院2022年1月至2023年6月择期行全身麻醉宫腔镜手术患者80例为研究对象,依照随机数表法分为气管插管组与SaCo可视喉罩组,每组各40例。比较两组患者麻醉诱导前(T0)、麻醉诱导即刻(T1)、气管/喉罩置入30 s(T2)、气管/喉罩置入成功5 min(T3)心率(HR)、平均动脉压(MAP);比较人工气道建立时间、苯磺酸顺罗库溴铵用量、麻醉复苏室(PACU)停留时间、PACU停留第12 min的改良Aldrete评分及并发症。 结果 SaCo可视喉罩组患者T2~T3 的MAP、HR均低于气管插管组,差异有统计学意义(P < 0.05)。SaCo可视喉罩组患者T2~T3 的MAP、HR与T0比较,差异无统计学意义(P > 0.05),而气管插管组患者T2~T3的MAP、HR均高于T0,差异有统计学意义(P < 0.05)。SaCo可视喉罩组患者人工气道建立时间短于气管插管组; PACU停留时间短于气管插管组;苯磺酸顺罗库溴铵用量低于气管插管组;PACU停留第12 min的改良Aldrete评分高于气管插管组,差异均有统计学意义(P < 0.05)。SaCo可视喉罩组发生并发症例数低于气管插管组,差异有统计学意义(P < 0.05)。 结论 与气管插管相比,SaCo可视喉罩在全身麻醉宫腔镜手术应用,具有人工气道建立时间短、血流动力学平稳、PACU停留时间短、肌松药物使用量低、苏醒质量高、并发症低优势。
英文摘要:
      [Abstract] Objective To investigate the application effect of SaCo visual laryngeal mask in hysteroscopic surgery under general anesthesia. Methods A total of 80 patients who underwent elective hysteroscopic surgery under general anesthesia admitted to Shantou Central Hospital from January 2022 to June 2023 were selected as the study subjects. They were randomly divided into the tracheal intubation group (n=40) and the SaCo visual laryngeal mask group (n=40) by random number table methods. The heart rate (HR) and mean arterial pressure (MAP) before anesthesia induction (T0), immediately after anesthesia induction (T1), 30 s after tracheal/laryngeal mask implantation (T2) and 5 min after tracheal/laryngeal mask implantation (T3) were compared between the two groups of patients. The establishment time of artificial airway, the dosage of benzenesulfonic acid cisrocuronium bromide, the residence time of post anesthesia care unit (PACU), the modified Aldrete score of PACU at the 12th minute of residence and complications were compared. Results The MAP and HR of patients in SaCo visual laryngeal mask group from T2 to T3 were all lower than those in tracheal intubation group at the same time, with statistically significant differences (P < 0.05). There were no statistically significant differences in MAP and HR of patients in SaCo visual laryngeal mask group between T2-T3 and T0 (P > 0.05), but the MAP and HR of patients in tracheal intubation group in T2-T3 were all higher than those in T0, with statistically significant differences (P < 0.05). The establishment time of artificial airway of patients in SaCo visual laryngeal mask group was shorter than that in tracheal intubation group. PACU time in SaCo visual laryngeal mask group was shorter than that in tracheal intubation group. The dosage of benzenesulfonic acid cisrocuronium bromide in SaCo visual laryngeal mask group was lower than that in tracheal intubation group. The modified Aldrete score of PACU at the 12th minute of residence in SaCo visual laryngeal mask group was higher than that in tracheal intubation group, all with statistically significant differences (P < 0.05). The number of complications in SaCo visual laryngeal mask group was lower than that in tracheal intubation group, with statistically significant difference (P < 0.05). Conclusion Compared with endotracheal intubation, SaCo visual laryngeal mask in application of general anesthesia hysteroscopic surgery has advantages such as short artificial airway establishment time, stable hemodynamics, short PACU residence time, low dosage of muscle relaxants, high quality of recovery and low incidence of complications.
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