妇产科临床应用喉罩全麻通气的安全性分析

耿伟峰

【摘 要】 目的：妇产科临床应用喉罩全麻通气的安全性分析。方法：选择本院妇产科于2018年9月至2019年10月收治的94例患者为研究对象，按照麻醉方案的差异性划分为研究组与对照组，每组各47例;对照组患者接受气管内插管通气，而研究组患者接受喉罩全麻通气，对比两组患者治疗前后的血流动力学指标以及并发症发生率。结果：通气前两组患者的血流动力学较为接近（P>0.05），而通气后，研究组患者的舒张压、收缩压以及平均动脉压均低于对照组患者，心率则高于对照组患者，数据差异有统计学意义（P<0.05）;此外，研究组患者并发症发生率为4.26%，低于对照组的19.15%，数据对比，组间差异有统计学意义（P<0.05）。结论：妇产科患者采用喉罩全麻通气方式，可以提高人体血流动力学的稳定性，减少并发症风险，安全性良好。

【关键词】 妇产科;喉罩全麻;血流动力学;并发症

[Abstract] Objective：Safety analysis of general application of laryngeal mask general anesthesia in obstetrics and gynecology. Methods： 94 patients who underwent obstetrics and gynaecology in our hospital from September 2018 to October 2019 were selected as subjects. According to the difference of anesthesia program， they were divided into experimental group and control group， 47 cases in each group. Intratracheal intubation was ventilated， and patients in the experimental group underwent general anesthesia with laryngeal mask. The hemodynamic parameters and complication rates before and after treatment were compared between the two groups. Results： The hemodynamics of the two groups before ventilation were close （P>0.05）. After ventilation， the diastolic blood pressure， hand systolic pressure and mean arterial pressure of the experimental group were lower than those of the control group， and the heart rate was higher than that of the control group. In the group of patients， the difference in data was statistically significant （P<0.05）. In addition， the incidence of complications in the experimental group was 4.26%， which was lower than that in the control group， which was 19.15%， that is， the data were compared. The difference between the groups was statistically significant （P<0.05）. Conclusion： Obstetrics and gynecology patients with laryngeal mask general anesthesia ventilation can improve the stability of human hemodynamics， reduce the risk of complications， and have good safety.

[Key words]Obstetrics and gynecology; Laryngeal mask general anesthesia; Hemodynamics; Complications

现阶段医疗机构妇产科普遍以气管内插管为常规通气方案，极易导致患者发生应激反应，进而弱化麻醉效果，此外，操作不适宜还会增加患者出现并发症的风险，例如通气不畅、喉头水肿、鼻腔黏膜出血等等[1-2]。喉罩全麻属于新兴通气方案，其在通气效果、操作等方面均得到了显著的改善[3]。本次为了验证喉罩全麻在妇产科临床中的应用效果，选择本院妇产科于2018年9月至2019年10月收治的94例患者为研究对象，展开如下对比分析。

1 资料与方法

1.1 一般资料

选择本院妇产科于2018年9月至2019年10月收治的94例患者为研究对象，所有患者均了解并同意参与本次研究，且未见合并其他脏器、系统性疾病;按照麻醉方案的差异性划分为研究组与对照组，每组各47例;对照组年龄为23～47岁，平均（34.35±8.63）岁;研究组年龄为21～48岁，平均（33.64±6.41）岁。对比分析两组患者的基线资料数据，组间差异统计学意义不成立（P>0.05），研究可行。

1.2 方法

两组均接受全麻：构建静脉通道，取2mg/kg丙泊酚（广东嘉博制药有限公司，国药准字H20051842）+0.15g/kg順阿曲库铵（浙江仙琚制药股份有限公司，国药准字H20090202）对患者实施诱导麻醉，然后取5μg/kg芬太尼（国药集团工业有限公司廊坊分公司，国药准字H20123297）以及丙泊酚对患者进行静脉注射，顺阿曲库铵对患者行间断性静脉注射。