喉罩全麻复合气道喷洒利多卡因在支气管介入手术麻醉中的应用.docVIP

喉罩全麻复合气道喷洒利多卡因在支气管介入手术麻醉中的应用 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：喉罩全麻复合气道喷洒利多卡因在支气管介入手术麻醉中的应用 1 1 资料与方法 3 2 结果 5 3 讨论 7 文2：喉罩在小儿腹腔镜手术麻醉中的应用 9 1 资料与方法 9 2 结果 10 3 讨论 11 参考文摘引言： 12 原创性声明（模板） 14 文章致谢（模板） 14 正文 喉罩全麻复合气道喷洒利多卡因在支气管介入手术麻醉中的应用 文1：喉罩全麻复合气道喷洒利多卡因在支气管介入手术麻醉中的应用 [Abstract] Objective To explore application of laryngeal mask general anesthesia combined with Lidocaine airway spray in the anesthesia of bronchial intervention. Methods 54 selective endoscopic intervention operation patients with anesthesiologists （ASA） Ⅰ - Ⅲ in Wuhan Central Hospital from June 2014 to January 2016 were selected. All patients were divided into laryngeal mask general anesthesia combined with Lidocaine group （observation group） and simple laryngeal mask anesthesia group （control group） by using the random number table method. Each group of 27 cases. Observation group through the induction of general anesthesia in laryngeal mask by bronchoscopy look downward epiglottis glottis and endobronchial sprayed with 2% Lidocaine 6-10 mL， sprayed 1 min after bronchoscopy interventional surgery； general anesthesia induction in laryngeal mask were used directly in control group， then bronchoscopy mirror interventional surgery was applied. Mean arterial pressure （MAP）， heart rate （HR）， patients with airway pressure when the basis of the value （T0）， after anesthesia induction ierting laryngeal mask （T1）， surgery after the fit 5 min （T2） and 20 min of operation （T3） and at the end of surgery （T4）， patients with laryngeal mask （T5） ， anesthetics dose and awakening time were recorded. And artery blood sample 3 mL in T0 - T5 point were collected. The levels of plasma concentration of epinephrine and norepinephrine were detected， stress reaction in two groups of patients were observed. Results The differences of MAP， HR and SpO2 at T0，T1 between two groups were not statistically significant （P ）. The levels of MAP in observation group at T2，T3，T4，T5 were obviously low