异丙酚静脉麻醉在儿童舌系带矫治术中的应用  

The application of Propofol intravenous anesthesia in children's ankyloglossia

作　　者：林应良 李朝刚[1] 康胜江 林方梁 张桂梅[1] 李鹏[2] 

机构地区：[1]四川省自贡市第一人民医院口腔科,四川自贡643000 [2]四川大学华西口腔医学院颌面外科,四川成都610041

出　　处：《口腔医学》2014年第10期765-767,共3页Stomatology

摘　　要：目的探讨异丙酚联合氯氨酮静脉麻醉在儿童舌系带过短矫治术中的安全性和有效性。方法 39例肥厚型舌系带过短的儿童患者,由麻醉专科医师在非气管插管状态下,给予异丙酚加氯氨酮静脉麻醉,再由专科医师行舌系带延长术。术中给予输液、吸氧,监测呼吸、血压、脉搏、血氧饱合度,记录手术时间、苏醒时间、术中术后不良反应和手术效果。结果所有患儿术中生命体征平稳,均未行气管插管并顺利完成手术。手术时间平均约3 min,从麻醉开始到患儿苏醒时间平均约20min。术中3例患儿出现SpO2过低,给予面罩吸氧后缓解,术后12例出现不同程度的恶心呕吐、喉痉挛症状,观察一段时间后自行缓解消失。结论异丙酚复合氯氨酮静脉麻醉可以安全、有效的用于儿童舌系带矫治术,值得临床推广应用。Objective To seek a safe and convenient anesthesia method for the surgery of children ankyloglossia,and to explore the effectiveness of the intravenous anesthesia： propofol combined with ketamine. Methods 39 pediatric patients with hypertrophic anky- loglossia were included in this study. After compound anesthetic： propofol with ketamine was given, the plastic surgery was carried out without endotracheal intubation. During the surgery, the respiration, blood pressure, pulse and oxyhemoglobin saturation （ SpO2 ） were monitored. The operation time,intraoperative and postoperative adverse reaction were recorded. Results All cases sustained the anes- thesia and the surgery,with good vital signs during surgery. The average operation time was 3 mins,and the average anesthesia time was 20 mins. Low SpO2 appeared in 3 cases during surgery. Postoperative symptoms of nausea,vomiting and laryngospasm with varying de- grees,were observed in 12 cases. Conclusions The intravenous anesthesia： propofol combined with ketamine,is a safe and effective method for children ankyloglossia,thus it is worth clinical popularization and application.

关 键 词：舌系带过短 静脉麻醉 异丙酚 

分 类 号：R971.2[医药卫生—药品]