中国现代医学杂志2025，Vol.35Issue(21)：72-77,6.DOI:10.3969/j.issn.1005-8982.2025.21.012
SaCo可视喉罩在腹腔镜卵巢囊肿切除术患者全身麻醉中的应用效果
The application effect of SaCo visual laryngeal mask in general anesthesia for patients undergoing laparoscopic ovarian cystectomy
摘要
Abstract
Objective To explore the application effect of SaCo visual laryngeal mask in general anesthesia for patients undergoing laparoscopic ovarian cystectomy.Methods A total of 106 patients with ovarian cysts admitted to our hospital from January 2023 to March 2025 were selected and all underwent laparoscopic cystectomy.According to the random number table method,they were divided into 2 groups,with 53 cases in each group.The control group was given tracheal intubation ventilation during general anesthesia,while the observation group was given SaCo visual laryngeal mask ventilation during general anesthesia.The perioperative related indicators,hemodynamics,pain degree,stress response and the occurrence of related complications were compared between the two groups.Results There was no significant difference in operation time and hospitalization time between the control group and the observation group(P>0.05).The recovery time,artificial airway establishment time and first exhaust time in the observation group were lower than those in the control group(P<0.05).Heart rate and MAP at T0,T1 and T2 were compared between the observation group and the control group by repeated measurement analysis of variance.Results(1)There were significant differences in heart rate and MAP at different time points(P<0.05).(2)There were significant differences in heart rate and MAP between the observation group and the control group(P<0.05).The heart rate and MAP levels at T1 and T2 in the observation group were lower,and the relative analgesic effect was better.(3)There were significant differences in the change trend of heart rate and MAP between the two groups(P<0.05).The VAS scores of the observation group and the control group in the resting state at 2,12 and 24 h after operation were compared by repeated measurement design analysis of variance.(1)The VAS scores at different time points were significantly different(P<0.05).(2)The VAS scores of the observation group were significantly different from those of the control group(P<0.05).(3)There was significant difference in the change trend of VAS score between the two groups(P<0.05).The differences of ALD,Cor,MDA and β-EP before and after operation in the observation group were smaller than those in the control group(P<0.05).The total incidences of anesthesia-related complications and pulmonary complications in the observation group were lower than those in the control group(P<0.05).Conclusion The application of SaCo visual laryngeal mask airway in general anesthesia of laparoscopic ovarian cyst resection can effectively maintain the stability of intraoperative fluid dynamics,reduce stress response,improve the quality of anesthesia,and has fewer complications.关键词
全身麻醉/腹腔镜卵巢囊肿切除术/SaCo可视喉罩/气管插管/血流动力学/并发症Key words
general anesthesia/laparoscopic ovarian cystectomy/SaCo visual laryngeal mask/tracheal intubation/hemodynamics/complications分类
临床医学引用本文复制引用
刘惠,梁姣..SaCo可视喉罩在腹腔镜卵巢囊肿切除术患者全身麻醉中的应用效果[J].中国现代医学杂志,2025,35(21):72-77,6.基金项目
陕西省重点研发计划项目(No:2022SF-126) （No:2022SF-126）
