探讨喉罩与气管插管麻醉在腹股沟疝手术的临床效果。

收集2018年4月至2019年12月阜阳市妇女儿童医院接受腹腔镜腹股沟疝手术治疗的60例患者作为研究对象，按照随机数表法随机分为2组，每组30例。对照组选择气管插管麻醉，观察组采取喉罩麻醉，对比2组患者的苏醒时间、苏醒躁动评分（Cravero）、平均动脉压（MAP）、心率（HR）及不良反应。

观察组患者的苏醒时间短于对照组，Cravero评分低于对照组，差异均有统计学意义（P<0.05）；观察组的MAP、HR指标在T2、T3、T4时间段变化幅度均明显小于对照组，差异均有统计学意义（P<0.05）；观察组研究对象出现不良反应的概率明显低于对照组，差异均有统计学意义（P<0.05）。

相对于气管插管麻醉来说，腹腔镜腹股沟疝患者采取喉罩麻醉能够获得较为理想的效果，能够缩短苏醒时间，避免苏醒期躁动的情况，对于血流动力学指标影响较小，麻醉安全性较高，有着极大的推广价值。

To compare the effect of laryngeal mask airway and endotracheal intubation combined anesthesia in laparoscopic inguinal hernia surgery.

60 patients with laparoscopic inguinal hernia surgery in Fuyang women's and children's hospital from April 2018 to December 2019 were selected as the research objects. According to the random number table, they were divided into the control group (n=30) and the observation group (n=30). The control group was given endotracheal intubation anesthesia, and the observation group was given laryngeal mask anesthesia. The recovery time, recovery agitation score (Cravero) and mean arterial pressure (MAP), heart rate (HR) and adverse reactions of the two groups were compared,

The recovery time of the observation group was shorter than that of the control group, and the Cravero score was lower than that of the control group (P<0.05); Compared with the control group, the MAP and HR indexes of the observation group changed significantly less at T2, T3 and T4 (P<0.05); The incidence of adverse reactions of the observation group was significantly lower than that of the control group (P<0.05).

Compared with endotracheal intubation anesthesia, laryngeal mask airway anesthesia for patients with laparoscopic inguinal hernia repair can obtain ideal effect, shorten the recovery time, avoid agitation during the recovery period, it has less impact on hemodynamic indexes and higher anesthesia safety, and has great promotion value.