喉罩麻醉与气管插管麻醉应用于儿童麻醉的效果探究  

Study on the Effect of Laryngeal Mask Anesthesia and Tracheal Intubation Anesthesia in Children

作　　者：张斌[1] ZHANG Bin(The Fourth Central Hospital of Tianjin,Tianjin 300140)

机构地区：[1]天津市第四中心医院,天津300140

出　　处：《中国医疗器械信息》2022年第11期106-108,共3页China Medical Device Information

摘　　要：目的:分析在儿童麻醉中采用喉罩麻醉或者气管插管麻醉的临床效果。方法:抽取2020年1月~2021年5月本院76例手术患儿,采用随机数字表法分组,观察组采用喉罩麻醉,同期对照组则改为气管插管麻醉,对比2组患儿术中的血流动力学指标、麻醉恢复情况以及不良反应发生率等。结果:T0、T1、T2时2组HR对比,P>0.05,T3、T4时对照组的HR较观察组更高,P<0.05;T0、T2时2组MAP对比,P>0.05,T1时对照组的MAP较观察组更低,而T3、T4时MAP较观察组更高,P>0.05;置入前2组患儿的Ppeak、PETCO_(2)对比,P>0.05,置入后观察组的Ppeak较对照组更低,而PETCO_(2)较对照组更高,P<0.05;观察组的导管拔除时间、意识清醒时间较对照组更短,P<0.05;麻醉不良反应发生率观察组为2.63%,对照组为15.79%,P<0.05。结论:在儿童麻醉中应用喉罩麻醉的价值高于气管插管麻醉,前者更有利于维持血流动力学平稳、降低不良反应发生率及缩短苏醒时间。Objective:To analyze the clinical effect of laryngeal mask anesthesia or tracheal intubation anesthesia in children anesthesia.Methods:76 cases of children undergoing surgery in our hospital from January 2020 to May 2021 were selected and randomly divided into groups by number table method.The observation group was treated with laryngeal mask anesthesia,while the control group was treated with endotracheal intubation anesthesia at the same time.The hemodynamics indexes,anesthesia recovery and adverse reaction rate of children in the two groups were compared.Results:At T0,T1 and T2,the HR of the two groups was compared with that of the observation group(P>0.05).At T3 and T4,the HR of the control group was higher than that of the observation group(P<0.05).At T0 and T2,the MAP of the two groups was compared with P>0.05.At T1,the MAP of the control group was lower than that of the observation group,while at T3 and T4,the MAP of the control group was higher than that of the observation group,P>0.05.The comparison of Ppeak and PETCO_(2)between the two groups before implantation was P>0.05.After implantation,the Ppeak of the observation group was lower than that of the control group,while the PETCO_(2)was higher than that of the control group,P<0.05.The catheter removal time and conscious time in the observation group were shorter than those in the control group(P<0.05).The adverse reaction rate of anesthesia was 2.63%in the observation group and 15.79%in the control group(P<0.05).Conclusion:Laryngeal mask anesthesia is more valuable than endotracheal intubation anesthesia in children anesthesia,and the former is more beneficial to maintain stable hemodynamics,reduce the rate of adverse reactions and shorten the time of recovery.

关 键 词：儿童 喉罩麻醉 气管插管麻醉 麻醉效果 

分 类 号：R614[医药卫生—麻醉学]