摘要
目的:分析不同麻醉维持方法在颌面外科日间小儿手术中的临床应用效果。方法:纳入颌面外科日间手术患儿80例,按照不同麻醉维持方式将其分为静脉组(n=40):丙泊酚维持剂量为2~3(mg·kg)/h;吸入组(n=40):鼻咽通气道辅助吸入3%~4%七氟醚维持。记录并比较两组患儿局麻后(T1)、术中(T2)、手术结束时(T3)心率、平均动脉压、血氧饱和度,术后苏醒时间及不良反应发生率。结果:不同时间点两组心率变化无统计学差异(P>0.05);吸入组平均动脉压下降幅度低于静脉组(P<0.01);血氧饱和度下降低于静脉组(P<0.01)。不良事件统计吸入组发生率低于静脉组(P<0.05)。结论:鼻咽通气道辅助吸入麻醉在颌面外科日间小儿手术中镇静效果确切,对循环系统影响较小,降低不良事件发生率。
Objective:To analyze the clinical application effects of different anesthesia maintenance methods in daytime pediatric surgery in oral maxillofacial surgery.Methods:80 children underwent anethesia for daytime surgery in oral maxillofacial region were enrolled and divided into 2 groups(n=40).The maintenance dose of propofol was 2-3(mg·kg)/h in venous group,that was 3%to 4%sevofluranenas in opharyngeal airway-assisted inhalation group.The heart rate,mean arterial pressure,oxygen saturation,postoperative wake-up time and incidence of adverse reactions after the local anesthesia(T1),intraoperative(T2)and end-of-surgery(T3)were recorded and compared between the 2 groups.Results:No statistical difference in heart rate change between the 2 groups at different time points(P>0.05).The average arterial pressure decrease and the decrease of oxygen saturationin in the inhalation group were lower than those of the venous group(P<0.01).The incidence of adverse events in the inhalation group were lower than that of the intravenous group(P<0.05).Conclusion:Nasopharyngeal airway-assisted inhalation anesthesia has definite sedative effect in daytime pediatric patients in oral maxillofacial surgery with less influence on the circulatory system and fewer adverse events.
作者
张铁成
程菲
赵严礼
金伟
裴润生
刘桂才
ZHANG Tiecheng;CHENG Fei;ZHAO Yanli;JIN Wei;PEI Runsheng;LIU Guicai(Nantong Stomatological Hospital Department of Anesthesiology,China,226001)
出处
《实用口腔医学杂志》
CAS
CSCD
北大核心
2024年第5期683-686,共4页
Journal of Practical Stomatology
基金
南通市社会民生科技计划-面上项目(编号:MS22022079)。
关键词
鼻咽通气道
吸入麻醉
小儿患者
颌面外科
日间手术
Nasopharyngeal airway
Inhalation anesthesia
Pediatric patients
Maxillofacial surgery
Day surgery
