摘要
目的:分析喉罩与气管插管对小儿择期下腹部手术麻醉效果以及血流动力学变化。方法:选取行择期下腹部手术的患儿82例,按照随机数字表将患儿平均分为喉罩组(n=41)及气管插管组(n=41),观察2组患儿麻醉效果及血流动力学变化,探究合理的麻醉与治疗方式。结果:喉罩组患儿平均拔管时间为57.3 s,清醒时间128.6 s;气管插管组患儿平均拔管时间281.7 s,清醒时间357.8 s,喉罩组患儿拔管时间、清醒时间均短于气管插管组,2组数据对比差异存在统计学意义(P<0.05);2组患儿置管时均未出现体动情况,置管成功率100.0%。喉罩组患儿拔管时出现体动2例,屏气2例,并发症出现率9.8%(4/41);气管插管组患儿拔管时出现呛咳4例,喉痉挛2例,体动8例,管带血2例,并发症出现率39.0%(16/41)。喉罩组并发症出现率明显低于气管插管组,2组数据对比存在统计学意义(P<0.05);T2、T3及T5时2组患儿MAP、HR指标差异存在明显统计学意义(P<0.05),表明插管时、插管后3 min及拔管时气管插管组患儿血流动力学变化较明显,喉罩组患儿上述时间点血流动力学变化不明显,2组数据对比差异存在统计学意义(P<0.05)。结论:喉罩麻醉相较于气管插管而言,具有麻醉效果好、并发症少、对血流动力学影响小且易于操作等多种优点,是适合婴幼儿手术的一种安全可靠的麻醉方式。
Objective： Aim of this study is to analyze the effect of anesthesia and changes of hemodynamic in children lower abdominal operation under laryngeal mask and tracheal intubation.Methods： 82 cases of children who under elective abdominal operation were selected to divide 2 groups for studying and exploring anesthesia and treatment and reasonable. Results： the laryngeal mask group extubation time, awake time were shorter in endotracheal intubation group, the compli- cation rate was obviously lower than that in endotracheal intubation group; T2, T3 and T5 two groups MAP, HR indicators are statistically significant. Conclusion： laryngeal mask anesthesia is effective to make less complications and effects on hemodynamics and many other advantages that is a safe and reliable operation of the anesthesia for infants and young children.
出处
《中国现代普通外科进展》
CAS
2013年第11期867-869,911,共4页
Chinese Journal of Current Advances in General Surgery
关键词
喉罩
气管插管
麻醉
Laryngeal mask airway.Tracheal intubation.Anesthesia
