快通道麻醉与常规麻醉应用于小儿先天性心脏病手术的对比研究  

作　　者：冯裕[1] 梁真科[1] 刘庆龙[1] 邓劲松[1] 

机构地区：[1]广东省高州市人民医院麻醉科,525200

出　　处：《当代医学》2010年第20期89-90,共2页Contemporary Medicine

摘　　要：目的比较快通道麻醉与常规麻醉应用于小儿先天性心脏病手术的临床效果。方法选取我院2006年1月～2009年12月收治的小儿先天性心脏病手术治疗的患儿136例,随机分为K组(快通道麻醉组)和C组(常规麻醉组)各68例,比较两种麻醉方法的相关指征。结果 K组和C组手术时间、CPB时间、阻断时间上比较均无明显差异(P>0.05),但K组住院时间为(7.2±3.2)d,无术后肺部感染和支气管痉挛发生,C组住院时间为(12.8±4.5)d,发生术后感染3例、支气管痉挛4例,两组比较差异明显(P<0.05)。结论快通道麻醉应用于小儿先天性心脏病手术中效果理想,并且可以缩短患者康复时间、减少术后肺部并发症的发生。Objective To compare fast-track anesthesia and general anesthesia in surgery of congenital heart disease.Methods 136 cases on our hospital from January 2006 to December 2009 admitted to the surgical treatment of congenital heart disease in children were randomly divided into K groups（fast-track anesthesia）and C（General anesthesia）,two methods of anesthesia-related indications were compared.Results Operation time, CPB time,blocking time of K group and C group showed no significant difference（P0.05）,but the hospital stay of K group was（7.2±3.2）d,no postoperative pulmonary infection and bronchospasm occurs,hospitalization time of C group was（12.8±4.5）d,3 cases of postoperative infection, bronchial spasm in 4 cases,the difference was significant（P0.05）.Conclusion The fast-track anesthesia in children with congenital heart surgery results are satisfactory,and can shorten the patient recovery time and reduce postoperative pulmonary complications.

关 键 词：快通道麻醉 常规麻醉 先天性心脏病 麻醉方法 手术 

分 类 号：R726.1[医药卫生—儿科]