摘要
目的比较不同麻醉方法用于婴幼儿呼吸道异物取出术的效果,探讨适宜的麻醉方法。方法婴幼儿呼吸道异物取出术486例,按麻醉方法分为三组,Ⅰ组为r-OH组(160例)施行r-OH、氯胺酮和力月西复合麻醉,保留自主呼吸;Ⅱ组为异丙酚组(162例)予以异丙酚、氯胺酮、力月西复合麻醉,亦保持自主呼吸;Ⅲ组则以阿曲库铵取代r-OH或异丙酚(164例),术中行人工通气。观察并记录三组患儿麻醉时间、手术时间及苏醒时间,统计三组的置镜满意率、并发症发生率。结果Ⅰ、Ⅱ组患儿麻醉手术时间、置镜满意率及并发症发生率无显著性差异穴P>0.05雪,Ⅲ组与Ⅰ、Ⅱ组比较,麻醉、手术及苏醒时间均明显缩短,置镜满意率明显高于Ⅰ、Ⅱ组穴P<0.05雪,并发症发生率明显低于Ⅰ、Ⅱ组穴P<0.05雪。结论婴幼儿呼吸道异物取出术麻醉中使用肌松剂阿曲库铵,能显著抑制不良反射,保证氧供充分、肌松良好,方便操作,效果满意。
Objective To compare the effects of differential methods of anesthesia on operation of foreign body removal from infant respiratory tract and explore an optimal anesthesia method. Methods 486 cases of operation of removing froeign body from infant respiratory tract were divided into three groups by differential anesthesia methods: group Ⅰ(n=160)including r-hydroxy butyacid(r-OH),ketamine and midazolan combined anesthesia;groupⅡ(n=162)including disoprofol,ketamine and midazolan intravenous combined anesthesia,above two groups keeping spontaneous respiration,group Ⅲ(n=164)used atracurium neplaced r-OH plus ketamine and midazolan combined anesthesia,the sick infant used artificial ventilation in the operation period. Then the anesthesia needs time,the operation persisting time and awake time were observed and recovered for the three groups.Final,the satisfactory rate of respiratory endoscopic insertion,complication occurrence rate and awake time were statistical compared. Results There was no obviously difference in anesthesia operation time,satisfactory rate of endoscopic insertion and complication occurrence rate between group Ⅰand Ⅱ (P>0.05). As compared withⅠandⅡgroups,in the groupⅢ times of anesthesia,operation and awake were obviously shorted,satisfactory rate of endoscopic insertion was significantly higher than those in the group Ⅲ(P<0.05),complication was markedly lower than that in the groupⅠandⅡ. Conclusions Application of atracurium on operation of foreign body removal from infant respiratory tract could obviously inhibit the harmful response,assure full oxygen supply,good muscule relaxation,method of the operation is more convenience and can gain satisfactory effect.
出处
《临床小儿外科杂志》
CAS
2004年第4期245-247,共3页
Journal of Clinical Pediatric Surgery
关键词
异物
外科学
呼吸系统
麻醉
Foreign Bodies/SU
Respiratory System
Anesthesia
