临床深麻醉下拔管在先天性唇裂手术麻醉中的可行性研究  

Feasibility Study of Clinical Drawing Tube Under the Depth Anesthesia During Congenital Cleft Lip Surgery

作　　者：李凯[1] 

机构地区：[1]黑龙江省绥化市绥棱县人民医院,152200

出　　处：《中国卫生标准管理》2015年第12期45-46,共2页China Health Standard Management

摘　　要：目的研究分析深度麻醉拔管在先天性唇裂手术中使用情况。方法 2012-2013年我院共接收了60例先天性唇裂患儿,将这些患儿分成对照组和观察组,均有30例。患者均接受了全麻治疗,对照组患儿的拔管时间是在麻醉消退后,观察组患儿是在深度麻醉时候进行。结果观察组患儿在T1和T2节点,Sp O2分别为3.33%、10.0%,对照组该数值为36.37%、53.33%。观察组在T1、T2节点没有出现支气管痉挛、喉痉挛、躁动以及面罩给氧困难等情况,对照组发生率分别为20.0%、33.33%、70.0%、60.0%,40.0%、26.67%、33.33%、50.0%,对照组比观察组高,P〈0.05。结论为先天性唇裂手术患儿进行手术后在深度麻醉状态下拔管的不良反应和并发症几率较低,安全性较高,因此可以推广使用。Objective To study the usage of drawing tube under the depth anesthesia during congenital cleft lip surgery. Methods Selected 60 cases of children patients with congenital cleft lip from 2012 to 2013 received in our hospital, and divided into control group and observation averagely. All patients received general anesthesia treatment, children in control group with decannulation after anesthesia fade, others in observation group with it in the depth of anesthesia. Results The numbers of SpO, of children at node T1 and node T2 were respectively 3.33% and 10% in observation group, and the numbers in control group were 36.37% and 53.33%. There were no bmnchospasm, laryngospasm, agiated or oxygen mask to difficult at node TI and node T2 in observation group. The incidences in control group were respectively 20%, 33.33%, 70%, 60%, 40%, 26.67%, 33.33% and 50%, higher than in observation group, P〈0.05. Conclusion Drawing tube under the depth anesthesia during congenital cleft lip surgerT can be expanded application, for lower adverse reaction, lower complication and higher security.

关 键 词：先天性唇裂 深麻醉 拔管 

分 类 号：R614[医药卫生—麻醉学]