喉罩下全凭吸入七氟醚维持麻醉用于腹腔镜胆囊切除术的临床观察

目的探讨在腹腔镜胆囊切除手术中应用喉罩通气全凭吸人七氟醚维持麻醉的临床安全性。方法择期行LC的患者60例，随机均分为七氟醚组（A组）和全凭静脉组（B组）。A组采用七氟醚全凭吸人麻醉维持，B组采用丙帕酚、舒芬太尼和罗库溴铵麻醉维持。监测并记录麻醉前后的血流动力学指标；记录喉罩拔除时间，观察恢复期不良反应情况。结果两组术中生命体征差异无统计学意义（P〉0．05），但A组拔管时间短于B组（P〈0．05），且不良反应发生率较B组少（P〈0．05）。结论LC采用喉罩通气全凭吸入七氟醚麻醉维持，能满足喉罩置人及外科手术操作的麻醉要求，操作方便、安全性高。

Clinical observation of sevoflurane inhalation anesthesia depends on laryngeal mask in laparoscopic cholecystectomy

Objective To explore the clinical safety of sevoflurane inhalation maintenance anesthesia with laryngeal mask airway in laparoscopic eholecysteetomy. Methods 60 patients undergoing selective LC were selected and randomly, divided into sevoflurane group （group A） and total intravenous group （B group）. Group A were maintained anesthesia with sevoflurane inhalation, group B were maintained anesthesia with Disoprofol, Sufentanil and Rocuronium Bromide. MAP, HR and SpO2 were monitoring and recording before, during and after anesthesia. The time between the end of operation and laryngeal mask remove were recorded. Adverse reactions were observed when they were convalescent. Results There were no significant differences in vital signs of two groups （P 〉 0.05）, but the time between the end of operation and laryngeal mask remove of group A was shorter than that of group B （P 〈 0.05）, convalescent incidence of adverse reaction was also less than that of B group （P 〈 0.05）. Conclusion By using sevoflurane inhalation anesthesia with Laryngeal mask in LC, the requirements of laryngeal mask palcement and surgical operation can be met and convenient operation, high safety.