小儿术后较深麻醉、浅麻醉下气管导管拔除的临床效果比较

发布时间：2018-02-07 11:00

本文关键词： 小儿术后较深麻醉浅麻醉气管导管拔除临床效果　出处：《齐齐哈尔医学院学报》2016年29期 　论文类型：期刊论文

【摘要】：目的探讨小儿术后较深麻醉、浅麻醉下气导管拔除的临床效果。方法将本院2015年3月至2016年3月收治的40例患儿随机分为对照组和观察组。对照组患儿在浅麻醉状态下进行拔管,观察组患儿在深麻醉状态下进行拔管,对比两组患儿的临床效果。结果相较于拔管之前,观察组患儿拔管前后五分钟内血压和心率变化不大,拔管后10~20 min后血压和心率基本恢复到拔管之前水平,对照组患儿和拔管之前相比,拔管后5~10 min钟血压和心率均显著上升,尤其是拔管时血压和心率的上升速度最快,和观察组相比较,差异具有统计学意义(P0.05)。两组患者气管导管拔除后,对照组共有12例患儿出现了不良反应,发生率为60%,观察组患儿共有3例出现不良反应,发生率为15%,差异均具有显著性(P0.05)。结论小儿术后在较深麻醉下拔除气管导管对患儿产生的影响更小,拔除后出现的并发症少,具有较高的临床推广应用价值。
[Abstract]:Objective to explore the deep anesthesia after operation in children, Methods from March 2015 to March 2016, 40 children in our hospital were randomly divided into two groups: the control group and the observation group. Results compared with before extubation, the blood pressure and heart rate of the observation group had little change in five minutes before and after extubation. The blood pressure and heart rate returned to the level before extubation after 10 ~ 20 min after extubation. Compared with those before extubation, the blood pressure and heart rate increased significantly in the control group at 10 min after extubation, especially in the extubation. Compared with the observation group, the difference was statistically significant (P 0.05). After the tracheal catheter was removed, 12 children in the control group had adverse reactions, the incidence was 60, and 3 patients in the observation group had adverse reactions. The incidence rate was 15, the difference was significant (P 0.05). Conclusion the effect of extubation of trachea catheter under deep anesthesia in children after operation is less, the complications after extubation are less, and it has higher clinical application value.
【作者单位】：广东省恩平市人民医院麻醉科;
【分类号】：R726.1

【相似文献】