喉罩复合无肌松技术在小儿疝手术中的应用

发布时间：2018-02-04 12:21

本文关键词： 无肌松技术喉罩小儿疝　出处：《医学理论与实践》2016年24期 　论文类型：期刊论文

【摘要】：目的:分析比较喉罩(LMA)复合无肌松技术与气管插管全身麻醉在小儿疝囊高位结扎手术中血流动力学平稳性及苏醒时间长短。方法:选择2015年6-12月我院行单侧疝囊高位结扎手术的患儿32例,随机分为喉罩组(LMA组)和气管插管组(ETT组),LMA组插入LMA,ETT组加用维库溴铵0.1mg/kg诱导,置入气管导管,对比两组HR、MAP及手术、拔管(LMA)、苏醒时间等。结果:在插管(LMA)、拔管(LMA)时,两组患儿心率、平均动脉压相比较,差异均有统计学意义(P0.05)。两组患儿在拔管(LMA)、苏醒时间相比,LMA组均明显短于ETT组,差异有统计学意义(P0.05)。结论:喉罩复合无肌松技术可用于小儿疝囊高位结扎术。
[Abstract]:Objective: to analyze and compare LMAs of laryngeal mask. The hemodynamic stability and the time of recovery during the high ligation of hernia sac in children with combined anaesthesia and tracheal intubation were studied. Thirty-two cases of high ligation of unilateral hernia sac were performed in our hospital from June to December in 2015. They were randomly divided into laryngeal mask group (LMA group) and endotracheal intubation group (ETT group) and endotracheal intubation group (endotracheal intubation group). The endotracheal tube was inserted into LMA-ETT group and induced by vecuronium (0.1 mg / kg). Results: the heart rate and mean arterial pressure were compared between the two groups at the time of intubation and LMA-extubation. The difference was statistically significant (P 0.05). The recovery time of LMA group was significantly shorter than that of ETT group. Conclusion: laryngeal mask combined with no muscle relaxation technique can be used in high ligation of hernia sac in children.
【作者单位】：湖南省衡阳县人民医院麻醉科;
【分类号】：R726.1
【正文快照】： 小儿疝囊高位结扎术是一种常见手术,历时短,对肌松要求低,现在一般用氯胺酮静脉麻醉、加肌松剂气管内插管或喉罩(LMA)全身麻醉,但加肌松剂的全身麻醉,对于时间短的手术,会有肌松残留或者需使用肌松拮抗剂,喉罩在麻醉中应用得越来越普遍,可在不使用肌松剂下插入,且可行自主呼吸

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