喉罩辅助下SIMV模式全麻在老年人甲状腺次全切除术中的研究

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Abstract ObjectiveTo explore the efficacy and safety of laryngeal mask assisted synchronous intermittent mandatory ventilation (SIMV)mode in general anesthesia for elderly patients undergoing subtotal thyroidectomy.MethodsA total of 60 patients who were no less than 65 years old in ASAⅠ-Ⅲ grade with subtotal resection from April 2015 to April 2016 were selected as research objects.They were evenly divided into the experimental group and the control group by a random and double blind method.In the experimental group,laryngeal mask assisted SIMV mode in general anesthesia was implemented,while in the control group,conventional tracheal intubation anesthesia was adopted.The hemodynamics before and after anesthesia,respiratory function recovery,and anesthesia related complications were observed between the two groups.ResultsCompared the level of systolic blood pressure (SBP),diastolic blood pressure (DBP),and heart rate(HR)at T0in the two groups,there was significant difference in the two groups from T1to T3(P＜0.05).In the experimental group,the level of SBP,DBP,and HR from T1to T2were higher compared with those in the control group,with statistical differences(P＜0.05).The dose of anesthesia in the experimental group was lower than those in the control group,the first extubation time,and time to leave operation room in the experimental group was shorter than those in the control group,which were displayed statistical differences(P＜0.05).The incidence of anesthesia-related complications in the experimental group was 6.67%,which was lower than that in the control group accounting for 26.67%,with a statistical difference(P＜0.05).ConclusionLaryngeal mask assisted SIMV mode in general anesthesia is beneficial to maintain the hemodynamic stabilityin elderly patients undergoing subtotal thyroidectomy,and shorten awakening time with few complications,which has a better application value.

Key words： Laryngeal mask Synchronous intermittent instruction ventilation Subtotal thyroidectomy General anesthesia Study

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	Articles by authors
	YAN Kai-shu
	LIAO Xi-qiang
	ZHAO Chong-han
	CHEN Zhen-ai

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YAN Kai-shu,LIAO Xi-qiang,ZHAO Chong-han, et al. Study of SIMV mode in general anesthesia assisted by laryngeal mask in the subtotal thyroidectomy for the elderly[J]. 中国当代医药, 2018, 25(5): 107-109.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I5/107

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