小儿腹腔镜手术中喉罩通气全身麻醉的临床应用分析  

Pediatric laryngeal mask airway general anesthesia in laparoscopic surgery clinical analysis

作　　者：季称心[1] 王占强[1] 

机构地区：[1]内蒙古包头市第四医院麻醉科,内蒙古包头014030

出　　处：《中国伤残医学》2015年第19期18-19,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：探讨小儿腹腔镜手术中喉罩通气全身麻醉的临床疗效以及应用分析。方法：收集60例应用小儿腹腔镜手术进行治疗的患儿，随机分为观察组和对照组各30例。结果：2组患儿手术时间差异无统计学意义（ P＞0．05）；观察组患儿所需苏醒时间、拔管（罩）时间均显著短于对照组（P＜0．05）；拔管（罩）呛咳、呕吐或伴误吸、咽部不适、苏醒期躁动等并发症的发生率均显著少于对照组（P＜0．05）。结论：在临床实施小儿腹腔镜手术的过程中，使用喉罩通气全身麻醉的方式能够较好的保证患儿得到相应的麻醉效果，在临床上值得推广应用。Objective：To investigate the laryngeal mask airway in laparoscopic surgery clinical curative effect and application analysis of general anesthesia.Methods：60 cases of pediatric laparoscopic surgery for treatment of children, were randomly divided into observa-tion group and control group 30 cases each.Results：two groups of children with operation time differences had no statistical significance （P 〉0.05）;Awaken observation group with the required time, extubation （cover） time were significantly shorter than the control group （P 〈0.05）;Extubation （cover） choking cough, vomiting, or with aspiration, pharynx ministry unwell, awakening period the incidence of complications such as agitation were significantly less than the control group （P 〈0.05）.Conclusion： in clinical pediatric laparo-scopic surgery in the process of implementation, the use of laryngeal mask airway general anesthesia way can better ensure that children re-ceive appropriate anesthesia effect, worthy of popularization and application in clinic.

关 键 词：小儿腹腔镜手术 喉罩通气 全身麻醉 临床应用分析 

分 类 号：R614[医药卫生—麻醉学]