喉罩麻醉和气管插管两种麻醉方法用于婴儿麻醉的可行性及安全性  

The Feasibility and Safety of Laryngeal Mask Anesthesia and Tracheal Intubation in Two Anesthesia Methods for Infant Anesthesia

作　　者：田军 

机构地区：[1]内蒙古乌兰察布市中心医院麻醉科,内蒙古乌兰察布012000

出　　处：《中国继续医学教育》2017年第2期102-103,共2页China Continuing Medical Education

摘　　要：目的探讨喉罩麻醉和气管插管两种麻醉方法用于婴儿麻醉的可行性及安全性。方法选取2014年1月—2015年12月我院所收治的80例需行手术治疗的患儿随机分成观察组与对照组,每组40例。观察组行喉罩联合七氟醚吸入麻醉,对照组行气管插管联合静吸复合麻醉。对比两组麻醉效果及安全性。结果观察组患儿苏醒时间、拔管时间均少于对照组,差异有统计学意义(P<0.05)。观察组各项不良反应发生率低于对照组(P<0.05)。对比两组喉罩置入或插管即刻(T1)、喉罩移开或拔管即刻(T3)的平均动脉压指标值,观察组优于对照组(P<0.05)结论婴儿外科使用喉罩麻醉,可以获得较好手术效果。Objective To investigate the feasibility and safety of laryngeal mask anesthesia and tracheal intubation in two anesthesia methods for infant anesthesia. Methods From January 2014 to December 2015, 80 cases of children in our hospital were randomly divided into observation group and control group, each group of 40 cases. The observation group underwent laryngeal mask combined with sevoflurane inhalation anesthesia. The control group received tracheal intubation combined with intravenous inhalation anesthesia. The anesthetic effect and safety of the two groups were compared. Results The observation group was less than that of the control group in the recovery time and extubation time, the difference was statistically significant（P〈0.05）. The incidence of adverse reactions in observation group was lower than that in control group（P〈0.05）. Comparing the two groups of laryngeal mask insertion or intubation immediate（T1）, laryngeal mask removal or extubation immediately（T3） mean arterial pressure index, the observation group was better than the control group（P〈0.05）. Conclusion Using laryngeal mask anesthesia for infants, can obtain good operation effect.

关 键 词：喉罩麻醉 气管插管麻醉 婴儿麻醉 可行性 安全性 

分 类 号：R726.1[医药卫生—儿科]