三种麻醉方案在小儿扁桃体腺样体切除术中的应用效果分析  

Application Effect Analysis of Three Anesthesia Schemes in Children Undergoing Tonsillectomy

作　　者：郭莎莎 Guo Shasha(Department of Anesthesia and Surgery,The People's Hospital of Guangrao,Dongying 257300,Shandong Province,China)

机构地区：[1]东营市广饶县人民医院麻醉手术科,山东东营257300

出　　处：《中国社区医师》2024年第9期26-28,共3页Chinese Community Doctors

摘　　要：目的:分析三种麻醉方案在小儿扁桃体腺样体切除术中的应用效果。方法:选取2021年4月—2022年4月于东营市广饶县人民医院行扁桃体腺样体切除术的368例患儿作为研究对象,依据随机数字表法分为研究组(n=152)、参照组(n=135)、对照组(n=81)。对照组实施全凭静脉麻醉;参照组持续静脉麻醉、吸入七氟醚;研究组手术前期维持静脉麻醉,术毕前10 min转为吸入七氟醚。比较三组麻醉效果。结果:手术开始后5 min、手术结束前5 min,参照组心率(HR)、平均动脉压(MAP)高于切皮前,且高于研究组、对照组,差异有统计学意义(P<0.05);研究组与对照组HR、MAP比较,差异无统计学意义(P>0.05)。三组手术时间比较,差异无统计学意义(P=0.228);研究组拔管时间、苏醒室停留时间短于参照组、对照组,参照组拔管、苏醒室停留时间短于对照组,差异有统计学意义(P<0.05)。参照组躁动发生率高于研究组、对照组,差异有统计学意义(P<0.05);研究组与对照组躁动发生率比较,差异无统计学意义(P=0.170)。结论:小儿扁桃体腺样体切除术中,手术前期维持静脉麻醉、术毕前10 min转为七氟醚吸入的麻醉方案可稳定患儿血流动力学,促进术后苏醒,降低躁动发生率。Objective:To analyze the application effects of three anesthesia schemes in children undergoing tonsillectomy.Methods:A total of 368 children who underwent tonsillectomy at the People's Hospital of Guangrao in Dongying City from April 2021 to April 2022 were selected as the study subjects.They were divided into a study group(n=152),a reference group(n=135),and a control group(n=81)using a random number table method.The control group implemented intravenous anesthesia alone,the reference group implemented continuous intravenous anesthesia and inhalation of sevoflurane,and the study group implemented the maintenance of intravenous anesthesia during early surgery and switched to inhalation of sevoflurane at 10 min before the end of the surgery.The anesthetic effects among three groups were compared.Results:The heart rate(HR)and mean arterial pressure(MAP)in the reference group were higher than those before skin incision and higher than those in the study group and the control group at 5 min after the start of the operation and 5 min after the end of the operation,and the difference was statistically significant(P<0.05);there was no significant difference in HR and MAP between the study group and the control group(P>0.05).There was no significant difference in operation time among three groups(P=0.228).The extubation time and the stay time in the recovery room in the study group were shorter than those in the reference group and the control group,and the extubation time and the stay time in the recovery room in the reference group were shorter than those in the control group,and the difference was statistically significant(P<0.05).The incidence of restlessness in the reference group was higher than that in the study group and the control group,and the difference was statistically significant(P<0.05);there was no statistically significant difference in the incidence of restlessness between the study group and the control group(P=0.170).Conclusion:In pediatric tonsillectomy,the anesthesia scheme of the intravenous anes

关 键 词：扁桃体腺样体切除术 静吸复合麻醉 全凭静脉麻醉 躁动 

分 类 号：R614[医药卫生—麻醉学]