摘要
目的探讨婴幼儿全麻术后麻醉恢复期垫用爱心小枕的效果,以减少婴幼儿全麻术后麻醉恢复期呼吸道并发症的发生,提高手术成功率。方法选择3岁以下全麻术后婴幼儿278例,按时间先后分为观察组和对照组,患儿术后回监护室后观察组使用爱心小枕垫肩颈部,对照组按常规护理,即予去枕平卧、头偏向一侧。观察两组婴幼儿呼吸道分泌物潴留、舌后坠、呕吐、误吸窒息等呼吸道并发症的发生情况。结果发生误吸窒息观察组3例(2.17%)、对照组13例(9.29%);因舌后坠发生呼吸道阻塞窒息的观察组发生2例(1.45%)、对照组10例(7.14%);因呼吸道分泌物聚积致呼吸道阻塞引起低氧血症的观察组发生3例(2.17%)、对照组15例(10.71%)。结论给全麻术后婴幼儿麻醉恢复期垫用爱心小枕能有效减少误吸窒息、舌后坠等呼吸道并发症的发生率,临床应用效果好,值得推广应用。
Objective To study the infants recovering from anesthesia after general anesthesia with love small pillow cushions and the effect to reduce infant anesthesia recovering after anesthesia the incidence of respiratory complications and improve the success rate of surgery.Methods 278 cases of 3 years old infants after general anesthesia were divided into chronological group and control group,children with postoperative care unit back to love in the observation group with small shoulder pads and neck pillows,conventional care control group with pillow supine,head to one side.Infants with respiratory secretions retention,the tongue falling,vomiting and aspiration asphyxia and other respiratory complications were observed.Results 3 patients（2.17%） occurred aspiration asphyxia in observation group,13 patients（9.29%） in the control group;in observation group,tongue fall occurred due to suffocation of the,airway obstruction occurred in 2 cases（1.45%）,while in the control group 10 patients（7.14%）;3 cases of hypoxemia-induced airway obstruction due to accumulation of respiratory secretions occurred in the observation group（2.17%）,and 15 patients（10.71%） in control group.Conclusion To the infant after general anesthesia,anesthesia recovery pad with love small pillow can be effective in reducing incidence of respiratory complications such as aspiration asphyxia and tongue falling,which had good clinical effect,and should be widely applied.
出处
《中华全科医学》
2011年第12期1972-1974,共3页
Chinese Journal of General Practice
关键词
麻醉恢复期
误吸窒息
爱心小枕
Anesthesia recovery period
Aspiration asphyxia
Love small pillow
