小儿电子耳蜗植入术喉罩单纯吸入麻醉及全凭静脉麻醉的安全性观察  

Clinical application of airway cap in cochlear implantation for young children

作　　者：郭玉良[1] 刘文东[2] 潘楚雄[1] 李天佐[1] 

机构地区：[1]首都医科大学附属北京同仁医院麻醉科,100730 [2]北京市监狱管理局中心医院麻醉科

出　　处：《北京医学》2011年第8期635-637,共3页Beijing Medical Journal

摘　　要：目的观察小儿电子耳蜗植入术应用喉罩单纯吸入麻醉及全凭静脉麻醉中的安全性及不良反应。方法选择行电子耳蜗植入术患儿168例,随机分为单纯吸入全身麻醉组和全凭静脉全身麻醉组。记录患儿入室时刻(T1)、入睡后安静状态(T2)、喉罩插入前(T3)、喉罩插入后(T4)、喉罩拔出前(T5)、喉罩拔出后时刻(T6)的平均动脉压(MAP)、心率(HR)、脉搏血氧饱和度(SpO2)、呼气末二氧化碳分压(PETCO2)、脑电双频指数(BIS)、苏醒时间(停药后到拔出喉罩所需时间)及不良反应发生率。结果两组在各时间点所测量的指标均无显著性差异。两组患儿T1、T2时刻HR组内比较有显著性差异[(148.8±18.5)次/min vs.(130.2±10.80)次/min,P<0.05;(150.2±20.7)次/min vs.(100.6±17.2)次/min,P<0.05]。两组苏醒时间无显著性差异。不良反应单纯吸入全身麻醉组17例,全凭静脉全身麻醉组15例,两组无显著性差异。结论单纯吸入全身麻醉或全凭静脉全身麻醉中喉罩应用于小儿电子耳蜗植入术是安全的,能避免气管内插管而产生的不良反应。Objective To evaluate the clinical safety and associated adverse effects of airway cap in cochlear implantation for young children.Methods 168 patients,in total,were randomly divided into total inhalation anesthesia group and total intravenous anesthesia group.The MAP,HR,SpO2,PETCO2,BIS and recovery time were continuously monitored and recorded during time of T1～T6,the adverse effects were also recorded.Results There were no difference in all the records between the two groups.There was significant difference in the heart rate of T1 and T2 in each group.Conclusions The airway cap in cochlear implantation for young children＇s anesthesia is safe.And it can decrease the rate of adverse effects.

关 键 词：电子耳蜗植入术 喉罩 单纯吸入全身麻醉 全凭静脉全身麻醉 儿童 

分 类 号：R726.1[医药卫生—儿科]