喉罩通气在全身麻醉患儿中的应用效果分析  

Analysis of application effect of laryngeal mask ventilation in children under general anesthesia

作　　者：李丽芳 张素红 徐凌 LI Li- fang;ZHANG Su-hong;XU Ling(Department of Anesthesia,Dalian Children’s Hospital Affiliated to Dalian Medical University,Dalian 116012,China)

机构地区：[1]大连医科大学附属大连市儿童医院麻醉科

出　　处：《中国实用医药》2019年第28期29-31,共3页China Practical Medicine

摘　　要：目的分析喉罩通气在全身麻醉患儿中的应用效果。方法80例全身麻醉患儿,按通气方式不同分为研究组和对照组,各40例。研究组患儿接受喉罩通气,对照组患儿接受气管插管。比较两组患儿并发症发生情况、丙泊酚用量、复苏时间、拔管时间及麻醉前(t0)、插管时或喉罩通气时(t1)、全身麻醉5min时(t2)、拔出导管或喉罩时(t3)、拔出后5min时(t4)时的血氧饱和度(SpO2)、心率(HR)、收缩压(SBP)、舒张压(DBP)。结果t0、t1、t2、t3、t4时,两组患儿HR、SBP、DBP、SpO2比较差异无统计学意义(P>0.05)。研究组并发症发生率为5.00%,显著低于对照组的32.50%,差异有统计学意义(P<0.05)。研究组丙泊酚用量(116.23±23.02)mg少于对照组的(235.62±26.35)mg,复苏时间(14.21±5.32)min、拔管时间(6.20±2.32)min均短于对照组的(19.65±5.36)、(14.25±6.35)min,差异有统计学意义(P<0.05)。结论全身麻醉患儿接受喉罩通气方式,可在确保麻醉中血压、心率等指标稳定的基础上减少麻醉药用量、缩短术后苏醒时间。Objective To analyze the application effect of laryngeal mask ventilation in children under general anesthesia.Methods A total of 80 children under general anesthesia were divided into research group and control group according to different ventilation modes,with 40 cases in each group.The research group received laryngeal mask ventilation,and the control group received tracheal intubation.Comparison was made on occurrence of complications,dosage of propofol,resuscitation time and extubation time and blood oxygen saturation(SpO 2),heart rate(HR),systolic blood pressure(SBP),diastolic blood pressure(DBP)before anesthesia(t0),intubation or laryngeal mask ventilation(t1),general anesthesia for 5 min(t2),extubation of the catheter or laryngeal mask(t3),5 min after extubation(t4)between the two groups.Results At t0,t1,t2,t3 and t4,there was no statistically significant difference in HR,SBP,DBP and SpO 2 between the two groups(P>0.05).The incidence of complications was 5.00%in the research group,and that was significantly lower than 32.50%in the control group.The difference was statistically significant(P<0.05).The dosage of propofol(116.23±23.02)mg in the research group was less than(235.62±26.35)mg in the control group,and resuscitation time(14.21±5.32)min,extubation time(6.20±2.32)min were shorter than(19.65±5.36)and(14.25±6.35)min in the control group.Their difference was statistically significant(P<0.05).Conclusion The laryngeal mask ventilation for children under general anesthesia can reduce the dosage of anesthetics and shorten the resuscitation time after operation on the basis of ensuring the stability of blood pressure and heart rate during anesthesia.

关 键 词：全身麻醉 小儿 喉罩通气 气管插管 

分 类 号：R726.1[医药卫生—儿科]