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鼻咽喉气道辅助通气下静脉全身麻醉在输尿管镜钬激光碎石术中的应用:一项前瞻性、单中心、对照试验。

The application of intravenous general anesthesia under nasopharyngeal airway assisted ventilation undergoing ureteroscopic holmium laser lithotripsy: A prospective, single-center, controlled trial.

作者信息

Jia Xuandong, Wang Min

机构信息

Department of Anesthesiology, The 904th Hospital of the Joint Logistic Support Force of PLA, Wuxi, 214000, Jiangsu, China.

出版信息

Open Med (Wars). 2024 Sep 23;19(1):20241046. doi: 10.1515/med-2024-1046. eCollection 2024.

Abstract

To observe the effect of intravenous general anesthesia under nasopharyngeal airway-assisted ventilation on patients undergoing ureteroscopic holmium laser lithotripsy. One hundred and twenty patients who underwent ureteroscopic holmium laser lithotripsy in our hospital were selected and randomly divided into nasopharyngeal airway group (research group) and laryngeal mask group (control group). These patients, respectively, received intravenous anesthesia under nasopharyngeal airway and laryngeal mask-assisted ventilation. The following evaluation indexes were compared and analyzed between the two groups, including anesthetic effect, hemodynamics, stress response, postoperative recovery, adverse reactions, etc. There were no significant differences in Visual Analog Scale, hemodynamics, and stress response between the two groups at each time point (). There were no significant differences in residence time and postoperative recovery time between the two groups ( 0.05). The difference in airway establishment time between the two groups was statistically significant ( < 0.05), and cases with blood in the research group was significantly lower than those in the control group ( < 0.05). Patient satisfaction in research group was significantly higher than those in the control group ( < 0.05). The clinical effect of intravenous general anesthesia under nasopharyngeal airway-assisted ventilation in ureteroscopic holmium laser lithotripsy is significant, which helps to stabilize patients' hemodynamics, reduce their stress response and adverse reactions, and improve the satisfaction rate of patient.

摘要

观察鼻咽喉气道辅助通气下静脉全身麻醉对输尿管镜钬激光碎石术患者的影响。选取我院120例行输尿管镜钬激光碎石术的患者,随机分为鼻咽气道组(研究组)和喉罩组(对照组)。这些患者分别接受鼻咽气道和喉罩辅助通气下的静脉麻醉。比较并分析两组间以下评估指标,包括麻醉效果、血流动力学、应激反应、术后恢复、不良反应等。两组在各时间点的视觉模拟评分、血流动力学和应激反应方面均无显著差异()。两组间住院时间和术后恢复时间无显著差异(>0.05)。两组间气道建立时间差异有统计学意义(<0.05),且研究组有血痰情况明显低于对照组(<0.05)。研究组患者满意度明显高于对照组(<0.05)。鼻咽喉气道辅助通气下静脉全身麻醉在输尿管镜钬激光碎石术中的临床效果显著,有助于稳定患者血流动力学,降低其应激反应和不良反应,并提高患者满意度。

需注意,原文中部分括号内容缺失具体数据或表述不完整,翻译时保留了原文的括号形式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80e3/11426383/bcdba114efeb/j_med-2024-1046-fig001.jpg

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