小儿喉罩在全身麻醉术中保留自主呼吸的应用价值

发布时间：2018-06-02 18:33

本文选题：全身麻醉术 + 保留自主呼吸　；参考：《中国处方药》2016年09期

【摘要】：目的探究小儿喉罩应用于全身麻醉术中保留自主呼吸的应用效果。方法选取2014年5月~2015年5月通过择期全身麻醉手术治疗的66例患儿,均在术中保留自主呼吸。术后统计患儿手术情况,并对比放置喉罩前后不同时间患儿呼气末二氧化碳分压(PETCO2)、血流动力学、血氧饱和度(Sp O2)等指标变化情况。结果患儿在放置喉罩前后不同时间段内各项血流动力学指标较放置喉罩前相比,均有所改善,差异有统计学意义(P0.05)。放置喉罩后即刻患儿的Sp O2较置罩前相比,有一定程度的升高,差异有统计学意义(P0.05),放置喉罩后20 min内保持着较稳定的水平。而患儿在置罩前后不同时间段内PETCO2均较稳定,差异无统计意义(P0.05)。结论小儿喉罩应用于全身麻醉术中保留自主呼吸患者的临床效果较好,能有效改善和稳定全身麻醉自主呼吸患儿的各项血流动力学指标,且能有效改善吸氧和稳定体内二氧化碳情况,临床应用价值较高,值得推广。
[Abstract]:Objective to explore the effect of laryngeal mask application in general anesthesia. Methods 66 children undergoing elective general anesthesia from May 2014 to May 2015 were selected. After operation, the changes of PETCO _ 2, hemodynamics, blood oxygen saturation and Sp _ O _ 2 were compared before and after laryngeal mask placement in children with different times of end-expiratory CO _ 2 partial pressure (PETCO _ 2), hemodynamics and blood oxygen saturation (SPO _ 2). Results the hemodynamic indexes of the children before and after laryngeal mask placement were improved compared with those before and after laryngeal mask placement, and the difference was statistically significant (P 0.05). The SPO _ 2 level of the laryngeal mask immediately after placing the laryngeal mask was increased to a certain extent, and the difference was statistically significant (P 0.05). The level of SPO _ 2 remained stable within 20 min after placing the laryngeal mask. However, PETCO2 was stable in different period before and after mask placement, and the difference was not statistically significant (P 0.05). Conclusion the application of larynx mask in general anesthesia can improve and stabilize the hemodynamic indexes of children with autonomic respiration effectively. It can effectively improve oxygen absorption and stabilize carbon dioxide in vivo, and is worth popularizing because of its high clinical application value.
【作者单位】：商丘市第三人民医院手术室;
【分类号】：R726.1

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