PDF(Pubmed)
Abstract：
UNASSIGNED: To compare perioperative adverse events between general anesthesia with endotracheal tube (ETT) and general anesthesia with laryngeal mask airway (LMA) in patients undergoing laparoscopic hysterectomy.
UNASSIGNED: This was a large sample retrospective, propensity score-matched (PSM) study. We collected the data of 6739 female patients who underwent laparoscopic hysterectomy between January 2016 and June 2021 in our hospital, China. Patients were divided into two groups (ETT group and LMA group) according to different airway management modes. Data on all perioperative adverse events were collected. PSM analysis was performed to control confounding factors and differences in baseline values between the two groups. Finally, 4150 female patients were recruited after PSM.
UNASSIGNED: The total number of patients taking intraoperative vasoactive drugs during surgery was higher in the ETT group than in the LMA group (P = 0.04). The LMA group had a higher incidence of vomiting (51 [2.46%]) and somnolence (165 [7.95]) in the postanesthesia care unit (PACU) than the ETT group (71 [3.42%] and 102 [4.92%], respectively) (P = 0.02 and P < 0.001). Hypothermia was significantly higher in the LMA group (183 [10.36%]) than in the ETT group (173 [8.34%]) in the PACU (P = 0.03). The number of patients with sore throat was significantly higher in the ETT group (434 [20.02%]) than in the LMA group (299 [14.41%]) in the ward (P < 0.001). Other variables such as hypoxemia, moderate to severe pain, abdominal distension, diarrhea, sleep disorders, wound bleeding, and skin itch were not significantly different between the two groups (P > 0.05).
UNASSIGNED: The ETT group had more incidences of vomiting, sore throat, and cough complications and needed more drug treatment than the LMA group. LMA is a better airway management mode and LMA general anesthesia can be safely used in patients undergoing laparoscopic nonemergency hysterectomy.
UNASSIGNED: This was a large sample retrospective, propensity score-matched (PSM) study. We collected the data of 6739 female patients who underwent laparoscopic hysterectomy between January 2016 and June 2021 in our hospital, China. Patients were divided into two groups (ETT group and LMA group) according to different airway management modes. Data on all perioperative adverse events were collected. PSM analysis was performed to control confounding factors and differences in baseline values between the two groups. Finally, 4150 female patients were recruited after PSM.
UNASSIGNED: The total number of patients taking intraoperative vasoactive drugs during surgery was higher in the ETT group than in the LMA group (P = 0.04). The LMA group had a higher incidence of vomiting (51 [2.46%]) and somnolence (165 [7.95]) in the postanesthesia care unit (PACU) than the ETT group (71 [3.42%] and 102 [4.92%], respectively) (P = 0.02 and P < 0.001). Hypothermia was significantly higher in the LMA group (183 [10.36%]) than in the ETT group (173 [8.34%]) in the PACU (P = 0.03). The number of patients with sore throat was significantly higher in the ETT group (434 [20.02%]) than in the LMA group (299 [14.41%]) in the ward (P < 0.001). Other variables such as hypoxemia, moderate to severe pain, abdominal distension, diarrhea, sleep disorders, wound bleeding, and skin itch were not significantly different between the two groups (P > 0.05).
UNASSIGNED: The ETT group had more incidences of vomiting, sore throat, and cough complications and needed more drug treatment than the LMA group. LMA is a better airway management mode and LMA general anesthesia can be safely used in patients undergoing laparoscopic nonemergency hysterectomy.
摘要：
■比较腹腔镜子宫切除术患者气管导管全身麻醉（ETT）和喉罩通气全身麻醉（LMA）的围手术期不良事件。
■这是一个大样本的回顾，倾向得分匹配(PSM)研究。收集2016年1月至2021年6月在我院行腹腔镜子宫切除术的6739例女性患者的资料,中国。根据气道管理方式不同分为ETT组和LMA组。收集所有围手术期不良事件的数据。进行PSM分析以控制混杂因素和两组之间基线值的差异。最后,PSM后招募4150名女性患者。
■ETT组在术中服用血管活性药物的患者总数高于LMA组（P=0.04）。LMA组的呕吐发生率（51[2.46%]）和嗜睡发生率（165[7.95]）高于ETT组（71[3.42%]和102[4.92%]，分别)(P=0.02和P<0.001)。在PACU中，LMA组的低体温（183[10.36％]）明显高于ETT组（173[8.34％]）（P=0.03）。病房中，ETT组的咽痛患者人数（434[20.02%]）明显高于LMA组（299[14.41%]）（P<0.001）。其他变量，如低氧血症，中度至重度疼痛，腹胀,腹泻,睡眠障碍,伤口出血,两组皮肤瘙痒差异无统计学意义(P>0.05)。
■ETT组呕吐发生率较高,喉咙痛,和咳嗽并发症，需要比LMA组更多的药物治疗。LMA是一种较好的气道管理模式，LMA全身麻醉可安全用于腹腔镜非急诊子宫切除术患者。
■这是一个大样本的回顾，倾向得分匹配(PSM)研究。收集2016年1月至2021年6月在我院行腹腔镜子宫切除术的6739例女性患者的资料,中国。根据气道管理方式不同分为ETT组和LMA组。收集所有围手术期不良事件的数据。进行PSM分析以控制混杂因素和两组之间基线值的差异。最后,PSM后招募4150名女性患者。
■ETT组在术中服用血管活性药物的患者总数高于LMA组（P=0.04）。LMA组的呕吐发生率（51[2.46%]）和嗜睡发生率（165[7.95]）高于ETT组（71[3.42%]和102[4.92%]，分别)(P=0.02和P<0.001)。在PACU中，LMA组的低体温（183[10.36％]）明显高于ETT组（173[8.34％]）（P=0.03）。病房中，ETT组的咽痛患者人数（434[20.02%]）明显高于LMA组（299[14.41%]）（P<0.001）。其他变量，如低氧血症，中度至重度疼痛，腹胀,腹泻,睡眠障碍,伤口出血,两组皮肤瘙痒差异无统计学意义(P>0.05)。
■ETT组呕吐发生率较高,喉咙痛,和咳嗽并发症，需要比LMA组更多的药物治疗。LMA是一种较好的气道管理模式，LMA全身麻醉可安全用于腹腔镜非急诊子宫切除术患者。
