摘要
Abstract
Objective To explore the application effect of subarachnoid anesthesia combined withgeneral anesthesia of inhaling sevoflurane with laryngeal mask in gynecological laparoscopic operation. Methods 48 cases with laparoscopic operation treated in our hospital from October 2012 to October 2014 were selected and they were randomly divided into observation group (group A,n=24) and control group (group B,n=24).Group A was given subarachnoid anesthesia com-bined with general anesthesia (preserving spontaneous breathing) of inhaling sevoflurane with laryngeal mask,while group B was given tracheal intubation general anesthesia.The change of HR,SBP,DBP,MAP and so on before (T0) and after (T1) the induction of anesthesia,after laryngeal mask or endotracheal tube placement 1 min (T2),pulling out of la-ryngeal mask or extubation immediately (T3) was observed and recorded respectively.The time of eyes open and extuba-tion (pull out of laryngeal mask) and self-reported name after operation was recorded respectively,and number of cases of bucking,sore throat,aspiration,and intraoperative awareness after operation and postoperative pain score was recorded respectively. Results Compared with T0,HR and MAP was increased respectively at T2,T3 and compared with group A at T2,T3,HR was faster and MAP was higher (P<0.05).The time of eyes open and pulling out of laryngeal mask in group A was obviously shorter than that of group B (P<0.05).The incidence rate of postoperative complications was lower than that of group B (P<0.05). Conclusion Subarachnoid anesthesia combined with inhaling sevoflurane with laryngeal mask applied in gynecological laparoscopic operation has advantages of stable hemodynamics,rapid recovery,fewer complica-tions,and it is a safe and effective anesthesia method.关键词
喉罩/蛛网膜下腔麻醉/七氟醚/妇科腹腔镜手术Key words
Laryngeal mask/Subarachnoid anesthesia/Sevoflurane/Gynecological laparoscopic operation分类
医药卫生
