喉罩在心血管内科介入手术麻醉中的应用效果探讨

发布时间：2018-08-12 20:45

【摘要】：目的:分析在心血管内科介入手术过程中给予喉罩麻醉的临床效果。方法:选取本院2013年1月-2015年6月期间收治的心血管内科介入手术患儿52例作为研究对象,按照不同麻醉方法分为试验组和对照组,每组各26例,其中试验组行喉罩麻醉,对照组行气管插管麻醉。分别观察两组患儿的血流动力学指标,比较拔管时间及清醒时间和苏醒期不良反应发生情况。结果:试验组患儿在麻醉后的不同时刻(T2、T3、T4时刻)的心率(HR)与平均动脉压(MAP)均明显低于对照组,差异均有统计学意义(P0.05)。试验组的拔管时间与清醒时间均明显短于对照组,差异均有统计学意义(P0.01)。试验组苏醒期出现躁动、咽痛、喉痉挛等不良反应的发生率为11.5%,明显低于对照组的38.5%,差异有统计学意义(P0.05)。结论:心血管内科疾病患者在行介入手术中,采用喉罩麻醉具有良好的效果。与传统气管插管相比,其具有稳定血流动力学、缩短清醒时间、降低苏醒期不良反应发生率等优点,值得临床推广使用。
[Abstract]:Objective: to analyze the clinical effect of laryngeal mask anesthesia during interventional surgery in cardiovascular department. Methods: a total of 52 children undergoing interventional cardiovascular surgery from January 2013 to June 2015 were divided into two groups: experimental group (n = 26) and control group (n = 26). Laryngeal mask anesthesia was performed in the experimental group. The control group was anesthetized by tracheal intubation. The hemodynamic indexes of the two groups were observed and the time of extubation, waking time and adverse reactions during recovery were compared. Results: the heart rate (HR) and mean arterial pressure (MAP) were significantly lower in the test group than in the control group at different time after anesthesia (P 0.05). The time of extubation and sobriety in the test group was significantly shorter than that in the control group (P0.01). The incidence of restlessness, sore throat, laryngeal spasm and other adverse reactions in the trial group was significantly lower than that in the control group (P 0.05). Conclusion: laryngeal mask anesthesia is effective in interventional surgery for patients with cardiovascular diseases. Compared with traditional tracheal intubation, it has the advantages of stabilizing hemodynamics, shortening awake time and reducing the incidence of adverse reactions during recovery, which is worth popularizing in clinic.
【作者单位】：河南省胸科医院;郑州大学第一附属医院;
【分类号】：R614

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