喉罩麻醉与气管插管麻醉在小儿疝气手术中的运用效果分析  

Analysis of the Effect of Laryngeal Mask Anesthesia and Tracheal Intubation Anesthesia in Pediatric Hernia Surgery

作　　者：黄颖琼 李夏桂 黄巧文 HUANG Yingqiong;LI Xiagui;HUANG Qiaowen(Department of Anesthesiology,Zhangzhou Hospital Affiliated to Fujian Medical University,Zhangzhou,Fujian Province,363000 China)

机构地区：[1]福建医科大学附属漳州市医院麻醉科,福建漳州363000

出　　处：《中外医疗》2023年第25期22-25,共4页China & Foreign Medical Treatment

摘　　要：目的探讨喉罩麻醉与气管插管麻醉在小儿疝气手术中的运用效果。方法随机选取2022年4月—2023年5月期间在福建医科大学附属漳州市医院接受手术治疗的疝气患儿120例为研究对象,按随机数表法将入选者分成对照组(n=60,气管插管麻醉)和观察组(n=60,喉罩麻醉)。记录评价组间呼吸功能各指标及围麻醉期血流动力学指标。结果观察组患者的术后睁眼时间、定向力恢复时间均明显短于对照组,差异有统计学意义(P<0.05);观察组气道压水平(15.02±1.58)cmH_(2)O低于对照组,而其血氧饱和度(95.52±3.22)%显著高于对照组,而其呼吸频率显著低于对照组,差异有统计学意义(t=20.711、5.527,P<0.05);两组入室时血流动力学指标对比,差异无统计学意义(P>0.05);观察组插管时、插管后5 min、气腹、放气腹时、拔管时的收缩压、舒张压、心率等血流动力学更平稳,差异有统计学意义(P<0.05)。结论临床为接受疝气手术的患儿应用喉罩麻醉对改善患儿围麻醉期呼吸功能及围麻醉期血流动力学指标的改善有积极作用。Objective To investigate the effect of laryngeal mask anesthesia and tracheal intubation anesthesia in pediatric hernia surgery.Methods 120 children with hernia who underwent surgical treatment in Zhangzhou Hospital Affiliated to Fujian Medical University from April 2022 to May 2023 were randomly selected for the study,and were divided into the control group(n=60,tracheal intubation anesthesia)and the observation group(n=60,laryngeal mask anesthesia)according to the random number method.Records were recorded to evaluate the indicators of respiratory function and perianesthesia hemodynamic indicators between the groups.Results The postoperative eye opening time and directional recovery time of the observation group patients were significantly shorter than those of the control group,and the difference was statistically significant(P<0.05).The airway pressure level(15.02±1.58)cmH_(2)O in the observation group was lower than that in the control group,while its blood oxygen saturation(95.52±3.22)%was significantly higher than that in the control group,and its respiratory rate was significantly lower than that in the control group,and the difference was statistically significant(t=20.711,5.527,P<0.05).There was no statistically significant difference in hemodynamic parameters between the two groups(P>0.05).The hemodynamics of systolic blood pressure,diastolic blood pressure,heart rate,etc.during intubation,5 minutes after intubation,pneumoperitoneum,deflated abdomen,and extubation in the observation group were more stable,and the difference was statistically significant(P<0.05).Conclusion Clinical application of laryngeal mask anesthesia for children undergoing hernia surgery has a positive effect on the improvement of respiratory function in the perianesthesia period and hemodynamic indexes in the perianesthesia period.

关 键 词：喉罩麻醉 气管插管麻醉 小儿疝气 手术 运用效果 

分 类 号：R5[医药卫生—内科学]