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目的观察对比喉罩麻醉与气管插管麻醉在手术中的应用效果。方法选取医院收治的需进行手术治疗的患儿68例,随机分为观察组和对照组,每组34例。对照组使用气管插管麻醉,观察组采用喉罩麻醉,比较2组患儿的临床麻醉效果。结果在不同阶段的动脉压及心率变化观察组与对照组比较差异有统计学意义(P<0.05);观察组呼气末二氧化碳分压(ETCO_2)、气道峰压(Ppeak)及患儿拔管时间、清醒时间均优于对照组(P<0.05);观察组不良反应发生率为8.8%,低于对照组的29.4%(P<0.05)。结论在对年龄较小患儿进行手术时,采用喉罩麻醉,可有效维持患儿血流动力学稳定,缩短拔管时间和清醒时间,具有效果好、不良反应少、恢复快的特点,值得临床推广应用。
Objective To compare the effect of laryngeal mask anesthesia and tracheal intubation anesthesia in surgery. Methods Sixty-eight children admitted to hospital for surgical treatment were randomly divided into observation group and control group with 34 cases in each group. The control group was anesthetized by endotracheal intubation, and the observation group was treated by laryngeal mask anesthesia. The clinical anesthesia was compared between the two groups. Results The changes of arterial pressure and heart rate at different stages were statistically different between the observation group and the control group (P <0.05). In the observation group, the end-tidal carbon dioxide partial pressure (ETCO_2), the peak airway pressure (Ppeak) The time of tube and awake time were all better than the control group (P <0.05). The adverse reaction rate in the observation group was 8.8%, which was lower than that in the control group (29.4%, P <0.05). Conclusion In the younger children undergoing surgery, the use of laryngeal mask anesthesia, can effectively maintain hemodynamic stability in children with shortened extubation time and awake time, with good effect, less adverse reactions, the rapid recovery, it is worth Clinical application.