小剂量万可松在婴幼儿气管异物取出术的临床应用  

Clinical Application of Small Dosage Vecuronium on Taking out Trachea Foreing Matter in Babies and Infants

作　　者：徐晓燕[1] 

机构地区：[1]成都市儿童医院,四川成都610017

出　　处：《现代临床医学》2008年第2期94-95,共2页Journal of Modern Clinical Medicine

摘　　要：目的:探讨小剂量万可松在婴幼儿气管异物取出术临床应用的可行性和安全性。方法:将40例患者依数字随机法分为2组:Ⅰ组(20例)采用静脉复合麻醉加咽喉部表面麻醉,保留自主呼吸;Ⅱ组(20例)采用静脉复合麻醉辅以小剂量万可松,气管插管。观察并分析两组患儿术中SPO2、SBP、DBP、HR、气管呛咳、屏气次数、喉痉挛等指标。结果:Ⅱ组患儿SBP、DBP、气管呛咳、屏气次数、喉痉挛明显低于Ⅰ组(P<0.05),术后两组患儿SPO2、清醒时间无明显差异(P>0.05)。结论:小剂量万可松在婴幼儿气管异物取出术临床应用是可行和安全的。Objective：To discuss the feasibility and the safety of small dosage vecuronium on taking out the trachea foreign matter in babies and infants.Method：40 examples were randomly divided into two groups,In I group,vein compound anaesthesia and swallows the throat surface anaesthesia（20 examples）,remaining breathe;II group for vein compound anaesthesia by small dosage vecuronium（20 examples）,the trachea incubated.To observe the SPO2,SBP,DBP,HR,the trachea chokes cough,hold their breath the number of times,laryngospasm in two groups,and to make statistical processing.Results：There were obviously lower in SBP,DBP,the trachea choke cough,hold their breath the number of times and laryngospasm in II group than that in I group（P〈0.05）.There were no statistical difference in SPO2 and the time of regain consciousness between two groups（P〉0.05）.Conclusion：The clinical application of small dosage vecuronium on taking out the trachea foreign matter in babies and infants is feasible and safe.

关 键 词：气管异物取出术 麻醉 万可松 婴幼儿 

分 类 号：R768.13[医药卫生—耳鼻咽喉科]