喉罩麻醉与气管插管麻醉在患儿手术中的效果观察

发布时间：2018-06-28 06:23

本文选题：喉罩麻醉 + 气管插管麻醉　；参考：《临床合理用药杂志》2016年35期

【摘要】：目的观察对比喉罩麻醉与气管插管麻醉在手术中的应用效果。方法选取医院收治的需进行手术治疗的患儿68例,随机分为观察组和对照组,每组34例。对照组使用气管插管麻醉,观察组采用喉罩麻醉,比较2组患儿的临床麻醉效果。结果在不同阶段的动脉压及心率变化观察组与对照组比较差异有统计学意义(P0.05);观察组呼气末二氧化碳分压(ETCO_2)、气道峰压(Ppeak)及患儿拔管时间、清醒时间均优于对照组(P0.05);观察组不良反应发生率为8.8%,低于对照组的29.4%(P0.05)。结论在对年龄较小患儿进行手术时,采用喉罩麻醉,可有效维持患儿血流动力学稳定,缩短拔管时间和清醒时间,具有效果好、不良反应少、恢复快的特点,值得临床推广应用。
[Abstract]:Objective To observe and compare the effect of laryngeal mask anesthesia and tracheal intubation anesthesia in the operation. Methods 68 children who were treated in the hospital were randomly divided into observation group and control group, 34 cases in each group. The control group was anesthetized by tracheal intubation, and the observation group was anesthetized by laryngeal mask. The results were compared in the 2 groups. The changes of arterial pressure and heart rate in the observation group were significantly different from those in the control group (P0.05), and the observation group was better than the control group (ETCO_2), airway peak pressure (Ppeak) and children's time of extubation (P0.05), and the incidence of adverse reactions in the observation group was 8.8%, lower than that of the control group (29.4% (P0.05)). The use of laryngeal mask anesthesia can effectively maintain the stability of hemodynamics, shorten the time of extubation and waking time, and have the advantages of good effect, less adverse reaction and quick recovery. It is worthy of clinical application.
【作者单位】：福建省南平市第二医院麻醉科;
【分类号】：R726.1

【相似文献】