喉罩通气下全凭七氟烷吸入麻醉对腹腔镜子宫肌瘤切除术患者血流动力学及不良反应的影响

Effect of sevoflurane inhalation anesthesia under laryngeal mask ventilation on hemodynamics and adverse reactions in patients undergoing laparoscopic myomectomy

中文关键词: 腹腔镜  子宫肌瘤切除术  喉罩  七氟烷  吸入麻醉

英文关键词: laparoscopy  Hysteromyomectomy  Laryngeal mask  Sevoflurane  Inhalation anesthesia

中文摘要:

      目的 探讨喉罩通气下全凭七氟烷吸入麻醉对腹腔镜子宫肌瘤切除术患者血流动力学及不良反应的影响。方法 选择2023年1月-2024年6月本院收治的70例接受腹腔镜子宫肌瘤切除术治疗的患者为观察对象,随机分为两组(观察组与对照组),对照组(n=35)采取常规麻醉,观察组(n=35)采取喉罩通气下全凭七氟烷吸入麻醉。比较组间麻醉恢复质量指标、血流动力学指标、术前和术后6h、24h、48h时认知功能、不良反应率。结果 观察组术后清醒时间、喉罩拔除时间短于对照组(P<0.05)。T1、T2时刻两组的HR、MAP、SpO2均下降,T3时刻对照组的HR、MAP、SpO2下降(P<0.05)；T1、T2、T3时刻,观察组的HR、MAP、SpO2均高于对照组(P<0.05)。术后6h、12h两组的MMSE均下降,术后48h对照组的MMSE下降(P<0.05)；术后6h、12h、48h,观察组的MMSE高于对照组(P<0.05)。不良反应发生率,观察组为8.57%,对照组为28.57%,前者更低(P<0.05)。结论 喉罩通气下全凭七氟烷吸入麻醉在腹腔镜子宫肌瘤切除术中效果显著,能提高血流动力学的稳定,改善麻醉恢复质量,促进术后认知功能的恢复,减低不良反应发生率。

英文摘要:

      Objective To investigate the effects of sevoflurane inhalation anesthesia under laryngeal mask ventilation on hemodynamics and adverse reactions in patients undergoing laparoscopic myomectomy. Methods A total of 70 patients who underwent laparoscopic myomectomy treated in our hospital from January 2023 to June 2024 were selected as observation subjects and randomly divided into two groups (observation group and control group). The control group (n=35) received conventional anesthesia, and the observation group (n=35) received sevoflurane inhalation anesthesia under laryngeal mask ventilation. The quality index of anesthesia recovery, hemodynamic index, cognitive function and adverse reaction rate were compared between groups before and after operation at 6h, 24h and 48h. Results The waking time and laryngeal mask removal time in observation group were shorter than those in control group (P<0.05). HR, MAP and SpO2 of both groups decreased at T1 and T2, while HR, MAP and SpO2 of control group decreased at T3 (P<0.05). At T1, T2 and T3, HR, MAP and SpO2 in observation group were higher than those in control group (P<0.05). MMSE in both groups decreased 6h and 12h after operation, and MMSE in control group decreased 48h after operation (P<0.05). The MMSE of observation group was higher than that of control group at 6h, 12h and 48h after operation (P<0.05). The incidence of adverse reactions was 8.57% in observation group and 28.57% in control group, and the former was lower (P<0.05). Conclusion Total sevoflurane inhalation anesthesia under laryngeal mask ventilation is effective in laparoscopic myomectomy, which can improve the stability of hemodynamics, improve the quality of anesthesia recovery, promote the recovery of postoperative cognitive function, and reduce the incidence of adverse reactions.