摘要
目的:回顾性分析鼻罩吸入全麻在日间门诊儿童舌系带延长术中的应用效果,探讨其临床应用特点和安全性。方法:对符合手术适应证的儿童,术前6 h禁食禁水,术中以鼻罩吸入5%七氟醚+50%笑气+氧气进行全麻,完成舌系带延长术,术中动态监测心率、血氧饱和度等生命体征,术后留院观察2 h,以离院评分系统进行评价,得分超过12分者准予离院,术后随访手术和麻醉相关并发症的发生情况。结果:共收集25个病例,男21例,女4例,平均年龄(3.1±1.2)岁,平均手术时间(19.8±7.3)min,离院评分系统平均得分14.2±0.65。所有患者术中各项生命体征平稳,术后随访未发现麻醉或手术不良并发症。结论:鼻罩吸入全麻可以为日间门诊儿童舌系带延长手术提供理想的麻醉效果,并且安全可靠。
Objective： To evaluate the effects of nasal mask inhalation anesthesia in frenuloplasty in outpatient children. Methods： 25 patients（ 21 males and 4 female） at the average age of 3.1 ± 1.2 years underwent frenuloplasty under nasal mask inhalation anes- thesia in outpatient department were included in this study. The heart rate, blood pressure and oxygen saturation were monitored dur- ing operation. All the patients were observed in hospital for 2 hours after surgery and allowed to leave when the score of postanesthetic discharge scoring system（PADSS） reached at least 12. Results： The average operation time was 19.8 ±7.3 minutes and the average PADSS was 14.2 ±0.65. The vital signs of all the patients were stable during operation and there was no any complication. Conclu- sion： Frenuloplasty under nasal mask inhalation anesthesia is safe and effective for the outpatient children.
出处
《实用口腔医学杂志》
CAS
CSCD
北大核心
2013年第1期65-67,共3页
Journal of Practical Stomatology
关键词
鼻罩吸入全麻
舌系带延长术
Nasal mask inhalation anesthesia
Frenuloplasty
