双管喉罩和气管插入导管麻醉在小儿外科手术麻醉中的效果对比

发布时间：2018-05-05 13:26

  本文选题：双管喉罩 + 气管插入导管　； 参考：《中国现代药物应用》2016年17期

【摘要】：目的探讨双管喉罩和气管插入导管麻醉用于小儿外科手术麻醉中的临床效果。方法 80例小儿外科的患儿,随机分为观察组和对照组,各40例。观察组采用双管喉罩麻醉,对照组采用气管插入导管麻醉,比较两组麻醉效果。结果治疗后,观察组拔管时间为(16.71±8.34)min、清醒时间为(48.32±26.54)min;对照组分别为(33.21±10.35)、(117.44±32.18)min,比较差异均具有统计学意义(P0.01)。对照组T3、T4时血压和心率与T1时比较,差异具有统计学意义(P0.05);观察组T4时血压与T1时比较,差异具有统计学意义(P0.05);观察组T3、T4时血压和心率与对照组同时刻比较,差异具有统计学意义(P0.05)。两组患儿整个过程中血氧饱和度比较,差异均无统计学意义(P0.05)。结论采用双管喉罩用于小儿外科手术麻醉中可明显降低患儿手术过程中血压及心率波动,缩短术后清醒时间,值得在小儿外科中推广实施。
[Abstract]:Objective to investigate the clinical effect of double laryngeal mask and trachea insertion anesthesia in pediatric surgery. Methods 80 children with pediatric surgery were randomly divided into observation group and control group, 40 cases in each group. The observation group was anesthetized with double larynx mask and the control group was anesthetized by trachea insertion catheter. Results after treatment, the extubation time was 16.71 卤8.34 minutes in the observation group and the waking time was 48.32 卤26.54 minutes in the control group, while that in the control group was 33.21 卤10.35 and 117.44 卤32.18 minutes, respectively. The difference was statistically significant (P 0.01). The blood pressure and heart rate of the control group were significantly different from those of the control group at T _ 1 and T _ 1, the blood pressure at T _ 4 and T _ 1 in the observation group were significantly different from those at T _ 1, and the blood pressure and heart rate at T _ 3 T _ 4 in the observation group were compared with those in the control group at the same time. The difference was statistically significant (P 0.05). There was no significant difference in blood oxygen saturation between the two groups (P 0.05). Conclusion the application of double-tube laryngeal mask in pediatric surgery anesthesia can obviously reduce the fluctuation of blood pressure and heart rate and shorten the postoperative waking time. It is worth popularizing and implementing in pediatric surgery.
【作者单位】： 广东省深圳市福田区深圳市儿童医院麻醉科;
【分类号】：R726.1
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本文编号：1847867