保留自主呼吸的喉罩全身麻醉在胸腔镜肺大疱切除手术中的应用

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Abstract Objective To analyze and discuss the application of laryngeal mask general anesthesia with keeping self breathing in thoracoscopic bullectomy. Methods A total of 106 patients who accepted thoracoscopic bullectomy in our hospital from September 2017 to September 2019 were selected as the study objects, and they were divided into control group (53 cases) and observation group (53 cases) by "color ball grouping" method. The patients in the control group were anesthetized with muscle relaxant and double lumen bronchus catheter, while the patients in the observation group were anesthetized with keeping self breathing during laryngeal mask insertion. The operation time, wake-up time, hospitalization time, time of getting out of bed, mean arterial pressure (MAP), heart rate (HR) and complications were compared before and after intubation between the two groups. Results The operation time, wake-up time, hospitalization time and the time of getting out of bed in the observation group were shorter than those in the control group, and the differences were statistically significant (P＜0.05). MAP and HR after intubation in both groups were lower than before intubation, and the differences were statistically significant (P＜0.05), but MAP and HR after intubation in the observation group were higher than those in the control group, and the differences were statistically significant (P＜0.05). The total incidence of complications in the observation group was lower than that in the control group, and the difference was statistically significant (P＜0.05). Conclusion The application of laryngeal mask general anesthesia with keeping self breathing in thoracoscopic bullectomy not only can improve the operation index, but also improve MAP, HR and other indicators, and reduce the incidence of complications. It is worth popularizing.

Key words： Self breathing Laryngeal mask general anesthesia Thoracoscopic bullectomy Application

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	LIAN Sheng-qiang
	PENG Xiao-lan
	JI Hao-cong

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LIAN Sheng-qiang,PENG Xiao-lan,JI Hao-cong. Application of laryngeal mask general anesthesia with keeping self breathing in thoracoscopic bullectomy[J]. 中国当代医药, 2020, 27(25): 141-143.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2020/V27/I25/141

[1]	赵中保，吴新海，刘东升.超声引导下胸椎旁阻滞复合喉罩在单孔胸腔镜肺大疱切除术中的应用[J].吉林医学，2019，40（11）：2553-2555.
[2]	安迎迎.对比免气管插管、传统双腔气管插管胸腔镜肺大疱切除术的安全性[J].中国医疗器械信息，2019，25（19）：90-91.
[3]	曹建平，赵阳.双腔支气管插管单肺通气麻醉在自发性气胸患者单孔胸腔镜肺大疱切除术中的应用[J].临床研究，2019，27（9）：12-14.
[4]	蒋波，俞鹏翼，沈江，等.免气管插管和双腔气管插管胸腔镜肺大疱切除术的对比研究[J].中国微创外科杂志，2018，18（11）：1003-1006.
[5]	刘炜烽，何荷番，翁培清，等.喉罩小潮气量较快频率间歇正压通气在漏斗胸患儿行胸腔镜Nuss 手术麻醉中的应用[J].中国医师进修杂志，2011，34（18）：45-47.
[6]	瞿波，于永群，郑耀明，等.保留自主呼吸喉罩全麻在胸腔镜肺大疱切除术中的应用[J].实用中西医结合临床，2018，18（9）：36-38.
[7]	李泳，徐祝红.SLIPA 全麻复合硬膜外麻醉在胸腔镜肺大泡手术中的应用[J].医药前沿，2012，2（5）：73-74.
[8]	王为，张成作，李雪.保留自主呼吸的喉罩全身麻醉对胸腔镜肺大疱切除手术的临床价值[J].中国当代医药，2018，25（26）：140-143.
[9]	朱旭，路辉.喉罩与气管内插管在胸腔镜胸交感神经切断术中的应用比较[J].医学与哲学（临床决策论坛版），2011，32（12）：61-63.
[10]	李梅，董文，蔡开灿，等.喉罩全麻在胸腔镜手术中的应用效果及护理[J].现代临床护理，2017，16（7）：43-46.
[11]	宋铁鹰，杨艳超，王虹，等.喉罩联合支气管封堵器在重症肌无力患者胸腔镜手术中的应用[J].河北医科大学学报，2018，39（12）：1451-1454.
[12]	张科，吴奇勇，邹志清，等.非气管插管麻醉下单孔胸腔镜治疗自发性气胸的临床应用[J].中国微创外科杂志，2017，17（12）：1068-1070.
[13]	王福涌，李涛涛，崔敬伟.硬膜外麻醉联合气管插管全身麻醉对胸腔镜下肺大疱切除术后疼痛的影响[J].临床医学，2017，37（11）：70-72.
[14]	郭丰，杨黎明，郭君，等.硬膜外麻醉与气管插管全身麻醉对胸腔镜下肺大疱切除术患者术后恢复影响的随机对照试验[J].中国胸心血管外科临床杂志，2017，24（9）：706-710.
[15]	涂远荣，姚志雄，李旭，等.喉罩麻醉和胸膜活检镜在手汗症手术中的应用[J].中华胸心血管外科杂志，2009，25（3）：203-204.