腹腔镜手术应用喉罩时麻醉质量控制中术者积极参与的效果观察

王娟; 王涛; 王昌合; 臧学利; 赵强

doi:10.13898/j.cnki.issn.1000-2200.2016.06.010

腹腔镜手术应用喉罩时麻醉质量控制中术者积极参与的效果观察

Observation on the effect of active participation of the laryngeal mask in the anesthesia quality control during laparoscopic surgery

摘要

摘要: 目的：探讨喉罩用于腹腔镜手术时麻醉质量控制中术者参与的重要性。方法：选择择期行腹腔镜胆囊切除术患者50例（A组），腹腔镜子宫肌瘤剔除术患者50例（B组），腹腔镜辅助阴式全子宫切除术患者50例（C组）。3组患者各均分2组，观察组（A1、B1、C1）患者为术中积极探查组，对照组（A2、B2、C2）患者为未探查组，观察6组麻醉后监测治疗室（PACU）观察时间、呕吐率、术后胃肠排气时间、第一次进食时间及满意度。结果：观察组（A1、B1、C1）患者PACU观察时间、胃肠排气时间及第一次进食时间均明显短于对照组（A2、B2、C2）患者（P < 0.01），而观察组（A1）患者满意度高于对照组（A2）患者（P < 0.05）。结论：术中外科医生积极参与探查胃肠胀气并及时处理，在PACU观察时间、胃肠排气时间及第一次进食时间、满意度方面可取得明显成效。

Abstract: Objective: To explore the role of the laryngeal mask in the anesthesia quality control during laparoscopic surgery.Methods: Fifty patients treated with laparoscopic gallbladder excision,50 patients treated with laparoscopic uterine fibroids eliminate and 50 patients treated with laparoscopic assisted vaginal hysterectomy were divided into A,B and C group,respectively.Three groups were subdivided into the observation group(A1,B1 and C1 group,probe group) and control group(A2,B2 and C2 group,non-probe group),respectively.The PACU observation time,vomiting rate,postoperative gastrointestinal exhaust time,first time eating time and degree of satisfaction in all patients were observed.Results: The PACU observation time,gastrointestinal exhaust time and first time eating time in observation group were significantly shorter than those in control group(P < 0.01).The degree of satisfaction in A1 group was higher than that in A2 group(P < 0.05).Conclusions: The intraoperative surgical exploration of flatulence and timely handling can improve the PACU observation time,gastrointestinal exhaust time,first time eating time and degree of satisfaction.

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