SaCo可视喉罩在腹腔镜卵巢囊肿切除术患者全身麻醉中的应用效果

The application effect of SaCo visual laryngeal mask in general anesthesia for patients undergoing laparoscopic ovarian cystectomy

摘要:

目的 探究SaCo可视喉罩在腹腔镜卵巢囊肿切除术患者全身麻醉中的应用效果。方法 选取2023年1月—2025年3月西电集团医院106例行腹腔镜切除治疗的卵巢囊肿患者。依据随机数字表法分为对照组与观察组，每组53例。对照组在全身麻醉时予以气管插管通气，观察组在全身麻醉时予以SaCo可视喉罩通气。比较两组围手术期相关指标、血流动力学、疼痛程度、应激反应及相关并发症发生情况。结果 对照组与观察组手术时间和住院时间比较，差异均无统计学意义（P >0.05）；观察组苏醒时间、人工气道建立时间和首次排气时间均短于对照组（P <0.05）。观察组与对照组在麻醉诱导前（T₀）、气管/喉罩置入5 min（T₁）、气管或喉罩拔出后5 min（T₂）时的心率、MAP比较，采用重复测量设计的方差分析，结果 ①不同时间点心率、MAP比较，差异均有统计学意义（P <0.05）；②观察组与对照组心率、MAP比较，差异均有统计学意义（P <0.05），观察组T₁、T₂时心率、MAP水平较低，相对镇痛效果较好；③两组心率、MAP的变化趋势比较，差异均有统计学意义（P <0.05）。观察组与对照组术后2、12、24 h静息状态下VAS评分比较，采用重复测量设计的方差分析，结果 ①不同时间点VAS评分比较，差异有统计学意义（P <0.05）；②观察组与对照组VAS评分比较，差异有统计学意义（P <0.05），观察组VAS评分较低，相对镇痛效果较好；③两组VAS评分的变化趋势比较，差异有统计学意义（P <0.05）。观察组手术前后ALD、Cor、MDA和β-EP水平的差值均低于对照组（P <0.05）。观察组麻醉相关并发症总发生率和肺部相关并发症总发生率均低于对照组（P <0.05）。结论 在腹腔镜卵巢囊肿切除术全身麻醉中应用SaCo可视喉罩，可有效维持术中血流动力学稳定，减轻应激反应，提升麻醉质量，且并发症少。

Abstract:

Objective To explore the application effect of SaCo visual laryngeal mask in general anesthesia for patients undergoing laparoscopic ovarian cystectomy.Methods A total of 106 patients with ovarian cysts admitted to our hospital from January 2023 to March 2025 were selected and all underwent laparoscopic cystectomy. According to the random number table method, they were divided into 2 groups, with 53 cases in each group. The control group was given tracheal intubation ventilation during general anesthesia, while the observation group was given SaCo visual laryngeal mask ventilation during general anesthesia. The perioperative related indicators, hemodynamics, pain degree, stress response and the occurrence of related complications were compared between the two groups.Results There was no significant difference in operation time and hospitalization time between the control group and the observation group (P > 0.05). The recovery time, artificial airway establishment time and first exhaust time in the observation group were lower than those in the control group (P < 0.05). Heart rate and MAP at T₀, T₁ and T₂ were compared between the observation group and the control group by repeated measurement analysis of variance. Results (1) There were significant differences in heart rate and MAP at different time points (P < 0.05). (2) There were significant differences in heart rate and MAP between the observation group and the control group (P < 0.05). The heart rate and MAP levels at T₁ and T₂ in the observation group were lower, and the relative analgesic effect was better. (3) There were significant differences in the change trend of heart rate and MAP between the two groups (P < 0.05).The VAS scores of the observation group and the control group in the resting state at 2, 12 and 24 h after operation were compared by repeated measurement design analysis of variance. (1) The VAS scores at different time points were significantly different (P < 0.05). (2) The VAS scores of the observation group were significantly different from those of the control group (P < 0.05). (3) There was significant difference in the change trend of VAS score between the two groups (P < 0.05).The differences of ALD, Cor, MDA and β-EP before and after operation in the observation group were smaller than those in the control group (P < 0.05).The total incidences of anesthesia-related complications and pulmonary complications in the observation group were lower than those in the control group (P < 0.05).Conclusion The application of SaCo visual laryngeal mask airway in general anesthesia of laparoscopic ovarian cyst resection can effectively maintain the stability of intraoperative fluid dynamics, reduce stress response, improve the quality of anesthesia, and has fewer complications.