3种麻醉方法用于小儿舌系带成形术的比较

发布时间：2018-11-21 14:12

【摘要】：目的比较3种麻醉方法在小儿舌系带成形术中的应用效果。方法将176例患儿随机分为3组,A组采用氯胺酮静脉全身麻醉,B组采用气管内插管全身麻醉,C组采用七氟醚面罩吸入麻醉。对3组患儿麻醉诱导时间、清醒时间、术中呼吸、心率、氧饱和度、颞下颌关节松弛度以及不良反应进行对比性研究。结果 3组麻醉方式中,呼吸频率、心率、氧饱和度差异无统计学意义,A组麻醉诱导时间高于B组与C组,C组清醒时间低于A组与B组(P0.05)。A组呼吸抑制、喉肌痉挛不良反应高于B组与C组,A组颞下颌关节松弛度欠满意,与B组和C组差异有统计学意义(P0.05)。C组恶心呕吐、呛咳发生率低于A组和B组(P0.05),但苏醒期躁动发生率高于B组(P0.05)。结论七氟醚吸入麻醉应用于小儿舌系带成形术简单、安全,但应注意预防苏醒期躁动的发生。
[Abstract]:Objective to compare the effect of three anesthetic methods in pediatric tongue mesenchygoplasty. Methods 176 children were randomly divided into 3 groups: group A received ketamine intravenous general anesthesia, group B received general anesthesia with endotracheal intubation, group C received sevoflurane mask inhalation anesthesia. The anesthesia induction time, waking time, respiration, heart rate, oxygen saturation, temporomandibular joint relaxation and adverse reactions were compared among the 3 groups. Results there was no significant difference in respiratory frequency, heart rate and oxygen saturation among the three groups. The induction time of anesthesia in group A was higher than that in group B and group C, and the waking time in group C was lower than that in group A and group B (P0.05). The side effect of laryngeal spasm was higher than that of group B and C, and the relaxation degree of temporomandibular joint in group A was not satisfactory, which was significantly different from that in group B and group C (P0.05). The incidence of nausea and vomiting in group). C was lower than that in group A and group B (P0.05). But the incidence of restlessness in recovery period was higher than that in group B (P0.05). Conclusion sevoflurane inhalation anesthesia is simple and safe in the treatment of children tongue mesenchygoplasty, but attention should be paid to the prevention of restlessness during recovery.
【作者单位】：广州市番禺区何贤纪念医院;广州市番禺区化龙医院;
【基金】：番禺区科技计划医药卫生项目(201330)
【分类号】：R726.1

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