中国现代医生2024，Vol.62Issue(16)：38-41,4.DOI:10.3969/j.issn.1673-9701.2024.16.010
喉罩全身麻醉联合"圈麻"阻滞用于结肠癌手术的麻醉效果
Efficacy of laryngeal mask general anesthesia combined with"loop anesthesia"block for colon cancer surgery
摘要
Abstract
Objective To observe the anesthetic effect of laryngeal mask general anesthesia combined with abdominal"loop anesthesia"block in laparoscopic resection of colon cancer.Methods A total of 60 patients who underwent laparoscopic resection of colon cancer in the Third Hospital of Xiamen from January 2022 to March 2023 were selected.According to random number table method,they were divided into L group(laryngeal mask general anesthesia,30 cases)and U group(laryngeal mask general anesthesia combined with abdominal"loop anesthesia"block,30 cases).The dosage of propofol and remifentanil for anesthesia maintenance,time to completion of surgery,visual analogue scale(VAS)score after consciousness and sufentanil dosage were recorded and compared between two groups.The satisfaction of analgesia 12h after surgery was compared between two groups.Results There were no significant differences in gender,age,body mass,height and operation time between two groups(P>0.05).The total dosage of remifentanil and propofol in U group was significantly lower than that in L group(P<0.001).The VAS score in the anesthesia recovery room of U group was significantly lower than that of L group,and the dosage of sufentanil was significantly lower than that of L group(P<0.001).The satisfaction of analgesia in U group was significantly higher than that in L group(χ2=6.772,P=0.031).Conclusion Compared with laryngeal mask general anesthesia,laryngeal mask general anesthesia combined with abdominal"loop anesthesia"block can reduce the amount of anesthesia maintenance drugs in laparoscopic colon cancer resection,reduce the amount of sufentanil in the anesthesia recovery room,and improve the satisfaction of postoperative analgesia.关键词
喉罩/腹直肌鞘阻滞/腰方肌阻滞/腹横肌平面阻滞/腹腔镜下结肠癌切除术Key words
Laryngeal mask/Sheath of rectus abdominis block/Quadratus lumborum block/Transversus abdominis plane block/Laparoscopic resection of colon cancer分类
医药卫生引用本文复制引用
傅志海,陈再治,马丽君,曲轶涛,林梅媛,陈林辉..喉罩全身麻醉联合"圈麻"阻滞用于结肠癌手术的麻醉效果[J].中国现代医生,2024,62(16):38-41,4.基金项目
福建省厦门市医疗卫生指导性项目(3502Z20224DZ1337) （3502Z20224DZ1337）
