摘要
目的探讨达克罗宁在气管镜下小儿气管异物取出术中的应用效果以及安全性。方法研究对象为该院66例小儿气管异物患儿，在2016年7月至2017年7月入院并接受治疗，通过电脑随机的方式，平分为两组，即常规组与研究组，两组分别有33例。在气管镜下行气管异物取出术中，常规组行常规润滑处理，研究组采用达克罗宁润滑气管镜、喉镜表面。结果研究组手术时长、苏醒时间、咽喉部不适比例，均少于常规组，有统计学意义（P〈0．05）；在T0（麻醉前）、T1（麻醉后），两组HR（心率）、SpO2（血氧饱和度）变化差异无统计学意义（P〉0．05），T2（置镜1min）、T3（置镜3min）、T4（置镜5min）时，研究组HR、SpO2更高，与常规组比较差异有统计学意义（P〈0．05）。结论在气管镜下小儿异物取出术中，达克罗宁的应用，效果显著，有利于稳定患儿心率及血氧饱和度，具备手术时间短、患儿苏醒快、并发症少等特点。
Objective to explore the effect and safety of dacroen in the removal of endotracheal foreign body in trachea. Methods the object of study for our hospital 66 cases of pediatric airway foreign bodies of children,in July 2016 - July 2017 in our hospital and accept treatment, through the computer random way, split into two groups, namely the conventional group and research group, two groups have 33 cases respectively. In the endotracheal endotracheal allotomy, routine lubrication treatment was performed in routine group,and the team used dacroen to lubricate the trachea and laryngoscope. Results The length of the study,the time of awakening and the proportion of the throat discomfort were less than the normal group, which was statistically significant（P〈0. 05）. In the T0（before anesthesia）, T1 （after anesthesia）, two groups of HR（heart rate）, SpO2 （blood oxygen saturation） change no statistical significance（P〉0.05） ,T2 （1 min） lens,T3 （3 rain） rear mirror, T4 （5 min） rear mirror, team HR, SpO2 higher, compared with normal group was statistically significant（P〈0.05）. Conclusion children with foreign bodies in under the bronchoscope,application of dyclonine effect is remarkable,is conducive to stability in children with heart rate and blood oxygen saturation, with shorter operation time, the children wake up fast, fewer complications, etc.
出处
《重庆医学》
CAS
北大核心
2017年第A03期59-61,共3页
Chongqing medicine
关键词
达克罗宁
小儿
气管异物取出术
效果
安全性
dacroen
children
removal of trachea foreign body
the effect
security
