上呼吸道感染患儿全身麻醉的安全性分析
发布时间：2019-04-02 19:20
【摘要】：目的探讨全身麻醉在不同年龄轻中度上呼吸道感染(Upper respiratory infection,URI)患儿应用中的安全性,为临床治疗提高参考依据。方法于2010年2月-2013年9月手术室安排179例择期手术患儿,依据URI程度分级将患儿分为3组,分别为无URI组102例、轻度URI组49例、中度URI组28例,比较3组患儿麻醉期间呼吸系统不良事件发生率及临床指标,数据采用SPSS 13.0软件进行统计分析。结果年龄≤3岁患儿无URI组、轻度URI组与中度URI组在咳嗽、屏气比较,中度URI组发生率明显增高,差异有统计学意义(P0.05);4~12岁患儿各组之间比较,差异无统计学意义;各组均未出现喉痉挛、支气管痉挛以及发热;年龄≤3岁、4~12岁患儿术中心率比较,中度URI组高于无URI组,差异有统计学意义(P0.05);年龄≤3岁患儿术中心率比较中度URI组高于轻度URI组,差异有统计学意义(P0.05)。结论年龄≤3岁合并轻度URI患儿,年龄4~12岁的合并轻中度URI患儿实施气管插管全身麻醉相对安全,而年龄≤3岁合并中度URI患儿进行气管插管全身麻醉时并发症率较高,存在一定风险,因此对于此类患儿则应进行更全面风险评估,把握主次,慎重选择是否实施全身麻醉。
[Abstract]:Objective to investigate the safety of general anesthesia in children with mild to moderate upper respiratory tract infection (Upper respiratory infection,URI) of different ages, so as to improve the reference for clinical treatment. Methods from February 2010 to September 2013, 179 children undergoing elective operation in operating room were divided into three groups according to URI grade: no URI group (n = 102), mild URI group (n = 49), moderate URI group (n = 28), non-URI group (n = 102) and moderate URI group (n = 28). The incidence of respiratory adverse events and clinical indexes were compared among the three groups during anesthesia. The data were statistically analyzed by SPSS 13.0 software. Results the incidence of cough and breath-holding in mild URI group and moderate URI group was significantly higher than that in moderate URI group (P 0.05), while there was no significant difference in the incidence of cough and breath-holding between mild URI group and moderate URI group (P0.05), while there was no significant difference between 4 and 12-year-old children with URI (P0.05). No laryngospasm bronchospasm and fever were found in each group. The rate of operation center was higher in moderate URI group than that in non-URI group (P0.05). The age 鈮，
本文编号：2452849
[Abstract]:Objective to investigate the safety of general anesthesia in children with mild to moderate upper respiratory tract infection (Upper respiratory infection,URI) of different ages, so as to improve the reference for clinical treatment. Methods from February 2010 to September 2013, 179 children undergoing elective operation in operating room were divided into three groups according to URI grade: no URI group (n = 102), mild URI group (n = 49), moderate URI group (n = 28), non-URI group (n = 102) and moderate URI group (n = 28). The incidence of respiratory adverse events and clinical indexes were compared among the three groups during anesthesia. The data were statistically analyzed by SPSS 13.0 software. Results the incidence of cough and breath-holding in mild URI group and moderate URI group was significantly higher than that in moderate URI group (P 0.05), while there was no significant difference in the incidence of cough and breath-holding between mild URI group and moderate URI group (P0.05), while there was no significant difference between 4 and 12-year-old children with URI (P0.05). No laryngospasm bronchospasm and fever were found in each group. The rate of operation center was higher in moderate URI group than that in non-URI group (P0.05). The age 鈮，
本文编号：2452849
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