摘要
目的探讨喉罩全麻控制气道在小儿经支气管镜取气道异物中的应用效果,为患儿的临床麻醉提供指导。方法选取2015年3月—2019年3月该院收治的气道异物患儿85例进行研究。按照随机数表法,将所有患儿分为观察组和对照组。观察组42例,给予喉罩全麻通气;对照组43例,给予静脉麻醉保留自主通气。观察比较两组患儿纤支镜检查前(T1)、纤支镜检查进行2 min(T2)和纤支镜检查后(T3)血氧饱和度(Pulse Oxygen Saturation, SpO_(2))、平均动脉压(Mean Arterial Pressure, MAP)及心率(Heart Rate, HR)变化情况,比较两组患儿手术时间、苏醒时间变化情况及不良反应发生率。结果 T2、T3时刻观察组HR[(83.13±4.25)次/分、(82.15±4.13)次/分]、MAP[(66.13±4.37)mm Hg、(64.58±4.14)mm Hg]水平明显低于对照组[(88.56±6.35)次/分、(87.63±6.26)次/分、(70.62±5.53)mm Hg、(69.42±5.25)mm Hg],SpO_(2)水平[(99.71±6.25)%、(99.62±6.51)%]明显高于对照组[(97.19±4.29)%、(96.05±4.14)%],差异有统计学意义(P<0.05)。观察组患儿手术时间[(22.14±2.42)min]明显低于对照组[(30.37±4.61)min],差异有统计学意义(P<0.05)。观察组不良反应发生率(7.14%)明显低于对照组(23.26%),差异有统计学意义(P<0.05)。结论喉罩全麻控制气道用于小儿经支气管镜取气道异物中疗效显著,可保证患儿在麻醉状态下的呼吸安全,减少手术时间,降低不良反应发生率,改善预后,值得临床推广应用。
Objective To explore the application effect of laryngeal mask general anesthesia to control airway in foreign body extraction of children through bronchoscope, provide guidance for clinical anesthesia of children.Methods From March 2015 to March 2019,85 children with airway foreign body treated in Foshan Fuxing Chancheng Hospital were selected and divided into observation group and control group according to random number table method, 42 children in observation group were given laryngeal mask general anesthesia ventilation, and 43 children in control group were given intravenous anesthesia to keep self ventilation.The changes of oxygen saturation(SpO_(2)),mean arterial pressure(MAP),heart rate(HR) before bronchoscopy(T1), bronchoscopy for 2 minutes(T2), and after bronchoscopy(T3) in the two groups were observed and compared;the operation time, the recovery time, and the incidence rates of adverse reactions in the two groups were compared.Results At the time of T2 and T3,the levels of HR [(83.13±4.25) times per minute,(82.15±4.13) times per minute],MAP[(66.13±4.37) mm Hg,(64.58±4.14) mm Hg]in observation group were statistically significantly lower than those in control group [(88.56±6.35) times per minute,(87.63±6.26) times per minute,(70.62±5.53) mm Hg, and(69.42±5.25) mm Hg],the levels of SpO_(2)[(99.71±6.25)%,(99.62±6.51) %] in observation group were statistically significantly higher than those in control group [(97.19±4.29)%,(96.05±4.14)%](P<0.05).The operation time in observation group [(22.14±2.42) minutes] was statistically significantly lower than that in control group [(30.37±4.61) minutes](P<0.05).The incidence rate of adverse reactions in observation group(7.14%) was statistically significantly lower than that in control group(23.26%)(P<0.05).Conclusion The curative effect of laryngeal mask general anesthesia to control airway in foreign body extraction of children through bronchoscope is significant, the method can ensure the safety of children under anesthesia, reduce operation time a
作者
刘汉宏
LIU Han-Hong(Foshan Fuxing Chancheng Hospital,Foshan,Guangdong 528000,China)
出处
《中国妇幼保健》
CAS
2021年第23期5574-5577,共4页
Maternal and Child Health Care of China
基金
广东省佛山市自筹经费类科技创新项目(2018AB001181)。
关键词
喉罩全麻控制气道
气道异物
支气管镜
小儿
生命体征
Laryngeal mask general anesthesia to control airway
Airway foreign body
Bronchoscopy
Child
Vital sign
