摘要
目的:观察LMA喉罩在小儿短小全麻手术中的安全性。方法:择期小儿手术40例,随机分为喉罩组(L组)和气管插管组(T组),每组20例。通过观察胸廓运动、PetCO2波形、双肺听诊来确定LMA喉罩的到位情况。记录患儿HR、MAP、气道平均压(Pmean)、Spo2、PetCo2及相关并发症。结果:L组HR、MAP在置入喉罩前后和拔除喉罩前后无明显变化(P>0.05);T组HR、MAP在插管后即刻与插管前、拔管后即刻与拔管前比较明显升高(P<0.05),L组并发症例数少于T组,苏醒期躁动、咽喉不适发生率明显少于T组(P<0.05)。结论:LMA喉罩用于小儿短小全麻手术,操作简便,应激反应小,通气满意,且咽喉并发症少,安全可靠。
Objective:To Observe the safety of LAM applied in general anesthesia for pediatric microsoma.Methods:Select 40 cases of selective pediatric operation and randomly divide them into LAM group(L group)and tracheal cannula group(T group),20 cases for each group,observe thoracic movement,waveform of PetCO2,and determine the position of LAM according to double-lung auscultation.Record Pmean,SpO2,PetCO2 and relevant complications.Results:In L group,to compare with that before,no obvious changes were found in HR and MAP after inserting LAM,(P>0.05),in T group,instant HR and MAP had gone up after inserting and extubating compared with that before(P<0.05).Cases of complications occurred in L group was less than that in T group,the occurrence of dysphoria during recovery and discomfort in throat were obviously less than that of the T group(P<0.05).Conclusion:The application of LAM in general anesthesia for pediatric microsoma is easy to operate,and there would be less stressful reaction,and the ventilation is satisfying,and there would be less throat Complications,it is safe and reliable.
出处
《数理医药学杂志》
2015年第10期1540-1541,共2页
Journal of Mathematical Medicine
关键词
LMA喉罩
气管插管
小儿
全麻
LAM
tracheal cannula
pediatric
general anesthesia
