舒芬太尼联合七氟烷吸入及SLIPA喉罩麻醉在腹腔镜胆总管切开取石术中的应用效果观察

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Abstract Objective To explore the effects of streamlined liner of pharynx airway (SLIPA) laryngeal mask with sufentanil and sevoflurane inhalation on anaesthetic analgesia and hemodynamics in patients after laparoscopic common bile duct exploration. Methods A total of 116 patients undergoing laparoscopic common bile duct exploration in the hospital were enrolled between January 2022 and June 2023. According to envelope method, they were randomly divided into combination group and routine group, 58 cases in each group. The routine group was given sufentanil and propofol for anesthesia maintenance, while combination group was given sevoflurane inhalation for SLIPA laryngeal mask anesthesia on basis of routine group. The heart rate (HR), mean arterial pressure (MAP) and bispectral index (BIS) in the two groups were compared at different time points. The postoperative pain response [visual analogue scale (VAS) ], sedation degree [observer’s assessment of alertness/sedation (OAAS) ] and incidence of adverse anesthesia reactions in the two groups were recorded. Results At T1, T2, T3 and T4, HR in combination group was lower than that in routine group, MAP was higher than than that in routine group, but there was no significant difference in BIS between the two groups. At 12h and 24h after surgery, VAS scores under resting and motion states in combination group were lower than those in routine group, and OAAS scores were higher than those in routine group. The incidence of adverse reactions in combination group was lower than that in routine group. Conclusion Sufentanil combined sevoflurane inhalation for SLIPA laryngeal mask anesthesia can effectively stabilize hemodynamics, relieve postoperative agitation and enhance analgesia effect in patients during laparoscopic common bile duct exploration.

Key words： sufentanil sevoflurane streamlined liner of pharynx airway laryngeal mask anaesthetic analgesia hemodynamics

Received: 29 July 2024

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	ZHANG Xueqin
	WANG Dongyu
	XING Yuan
	XIN Zhichuan
	ZHAO Chenyang

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ZHANG Xueqin,WANG Dongyu,XING Yuan等. Effects of SLIPA laryngeal mask with sufentanil and sevoflurane inhalation on anaesthetic analgesia and hemodynamics in patients after laparoscopic common bile duct exploration[J]. HuNan ShiFan DaXue XueBao(YiXueBan), 2024, 21(5): 46-50.

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http://yxb.hunnu.edu.cn/EN/ OR http://yxb.hunnu.edu.cn/EN/Y2024/V21/I5/46

[1] 缪琦, 杜华劲, 高学键, 等. 三镜联合胆总管手术和腹腔镜胆总管手术治疗胆囊结石合并胆总管结石疗效对比[J]. 湖南师范大学学报 (医学版) , 2021, 18(5) : 205-208.
[2] 王娜, 周玲玲, 侯彤. 多媒体视频联合情景体验式健康教育在腹腔镜胆总管切开取石术患者中的应用效果[J]. 中国医药导报, 2023, 20(6) : 149-152.
[3] 刘树旺, 张丽芬, 余小舫. 腹腔镜胆总管切开取石术与十二指肠镜下胆总管取石术治疗胆总管结石的对比分析[J]. 肝胆胰外科杂志, 2021, 33(12) : 725-728.
[4] 秦怀峰, 刘绍正, 陈海涛, 等. 右美托咪定联合罗哌卡因用于胸椎旁神经阻滞对胆总管切开取石术后镇痛效果的影响[J]. 临床与病理杂志, 2020, 40(3) : 636-640.
[5] 王佐权, 张萌. 不同CO₂气腹压力对腹腔镜下胆总管切开取石术患者应激反应的影响[J]. 临床医学研究与实践, 2019, 4(34) : 87-88.
[6] 王涵, 伍志超, 黄艳, 等. SLIPA喉罩和LMA Supreme喉罩通气在老年患者行腹腔镜胆囊切除术中的应用比较[J]. 川北医学院学报, 2021, 36(1) : 51-55.
[7] 汪俊, 叶宏武. 不同浓度七氟醚潮气量法吸入诱导对小儿扁桃体、腺样体摘除术苏醒期躁动的影响[J]. 临床与病理杂志, 2020, 40(8) : 2108-2112.
[8] 白小丽, 张立立, 陈蕾, 等. 舒芬太尼联合七氟烷复合麻醉用于小儿腺样体肥大切除术对血流动力学及术后躁动的影响[J]. 河北医科大学学报, 2022, 43(7) : 822-826.
[9] 潘琦, 产进中, 金侃, 等. 超声引导下腹部神经阻滞对老年患者术后疼痛及认知状态的影响[J]. 湖南师范大学学报 (医学版) , 2022, 19(2) : 108-111.
[10] 中国医师协会介入医师分会. 胆总管结石中西医结合介入治疗专家共识[J]. 中西医结合肝病杂志, 2023, 33 (2) : 后插1-后插5, 封3.
[11] KNUF KM, MAANI CV, CUMMINGS AK.Clinical agreement in the American Society of Anesthesiologists physical status classification.[J]. Perioper Med (Lond) , 2018, 7: 14.
[12] 孙兵, 车晓明. 视觉模拟评分法 (VAS)[J]. 中华神经外科杂志, 2012, 28(06) : 645.
[13] KIM TK, NIKLEWSKI PJ, MARTIN JF, et al.Enhancing a sedation score to include truly noxious stimulation: the Extended Observer's Assessment of Alertness and Sedation (EOAA/S)[J]. Br J Anaesth, 2015, 115(4) : 569-577.
[14] 季芳, 卜杨, 夏源. 微视频联合情境体验健康教育在腹腔镜胆总管切开取石术病人中的应用研究[J]. 蚌埠医学院学报, 2021, 46(11): 1619-1622.
[15] 余云兰, 黄莉莉, 林加福, 等. 三种麻醉方式在高龄患者人工股骨头置换术中的效果分析[J]. 创伤外科杂志, 2021, 23 (6) : 465-467+471.
[16] 王旭, 张加强. 右美托咪定联合七氟烷在小儿先天性心脏病微创封堵手术中的应用效果[J]. 新乡医学院学报, 2021, 38(5) : 445-448.
[17] 丁荷蓓, 王殉, 陈为国. 七氟烷复合右美托咪定在伴有轻度认知障碍老年腰椎手术患者中的应用效果[J]. 中国老年学杂志, 2024, 44(11) : 2621-2624.
[18] 张天宇, 杜晶晶, 李梦, 等. 艾司氯胺酮联合舒芬太尼用于小儿四肢骨折术后镇痛的临床研究[J]. 中国临床药理学杂志, 2024, 40(11): 1551-1555.
[19] 姜姗, 刘毅. SLIPA喉罩在不同年龄患者膀胱镜手术中的应用效果[J]. 武警医学, 2022, 33(8) : 701-704.
[20] LIM L, JANG YE, KIM EH, et al.Comparison of the effects of sufentanil and fentanyl in intravenous patient-controlled analgesia after pediatric moyamoya surgery: a retrospective study[J]. Pediatr Neurosurg, 2020, 55(1) : 36-41.
[21] 张雨洁, 毛文虹, 高颖, 等. SLIPA™喉罩与Supreme喉罩的临床应用对比[J]. 国际呼吸杂志, 2020, 40(20) : 1580-1584.
[22] ZHI M, DIAO Y, LIU S, et al.Sufentanil versus fentanyl for pain relief in labor involving combined spinal-epidural analgesia: a systematic review and meta-analysis of randomized controlled trials[J]. Eur J Clin Pharmacol, 2020, 76(4) : 501-506.