肌松剂应用与否在小儿眼科手术全麻喉罩置入中的比较

发布时间：2018-07-14 17:20

【摘要】：目的研究小儿眼科手术麻醉诱导时应用肌松剂对喉罩置入的影响。方法选择眼科患儿60例(先天性斜视40例,先天性白内障10例,先天性青光眼10例),年龄2~8岁,随机分为两组,每组30例。实验组诱导时给予适量肌松剂(麻醉中不再追加)后置入喉罩,对照组不给予肌松剂。记录两组患儿诱导前(T_0)、诱导后(T_1)的心率及置入喉罩时(T_2)心率变化,呛咳、体动发生例数。分别记录两组术后呼吸恢复、拔除喉罩时间及拔除后(T_3)的心率。结果两组患儿诱导后心率较诱导前均有明显下降(P0.05)。置入喉罩时实验组患儿生命体征平稳,无呛咳、体动。对照组有6例出现体动、呛咳,1例出现了气道痉挛,需要停止操作追加诱导用药后完成。术毕在呼吸恢复拔出喉罩时间上两组无明显差异(P0.05)。结论对于小儿眼科手术,全麻诱导时合用肌松剂可使喉罩置入更顺畅,且不延长术后苏醒及拔除喉罩时间,应用更加安全。
[Abstract]:Objective to study the effect of muscle relaxant on laryngeal mask implantation during anesthesia induction in pediatric ophthalmic surgery. Methods 60 cases of ophthalmic children (40 cases of congenital strabismus, 10 cases of congenital cataract and 10 cases of congenital glaucoma) were randomly divided into two groups, 30 cases in each group. The experimental group was given a proper amount of muscle relaxant (no longer added during anesthesia) and the control group was not given a muscle relaxant. The changes of heart rate, cough and body movement were recorded in both groups before and after induction (T _ s _ 1) and after placement of larynx mask (T _ 2). Respiratory recovery, laryngeal mask extraction time and heart rate (T _ 3) after extraction were recorded in both groups. Results after induction, the heart rate in both groups was significantly lower than that before induction (P0.05). When the laryngeal mask was placed, the vital signs of the children in the experimental group were stable, no cough and body movement. In the control group, 6 cases developed body movement and 1 case developed airway spasm. There was no significant difference between the two groups in the time of respiratory recovery and extraction of larynx mask after operation (P0.05). Conclusion for pediatric ophthalmic surgery, combined with muscle relaxant during general anesthesia induction can make laryngeal mask placement more smooth, without prolonging postoperative recovery and removing larynx mask time, and it is more safe to use.
【作者单位】：徐州医科大学附属第三医院麻醉科;
【分类号】：R726.1

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