静吸复合麻醉与表面麻醉用于小儿泪道探通术中的对比研究  

Comparative study of combined intravenous-inhalation anesthesia and topical anesthesia in pediatric lacrimal passage probing surgery

作　　者：宫明 崔馨予 曾佳 GONG Ming;CUI Xinyu;ZENG Jia(Department of Anesthesiology,Fushun Eye Hospital,Fushun,Liaoning,113006,China;Department of Outpatient,Fushun Eye Hospital,Fushun,Liaoning,113006,China)

机构地区：[1]抚顺市眼病医院麻醉科,辽宁抚顺113006 [2]抚顺市眼病医院门诊部,辽宁抚顺113006

出　　处：《当代医学》2024年第6期118-121,共4页Contemporary Medicine

摘　　要：目的对比分析静吸复合麻醉与表面麻醉用于小儿泪道探通术中的麻醉效果及安全性。方法选取抚顺市眼病医院2020年1月至2020年12月收治的患有先天性泪道阻塞疾病并开展泪道探通术的患儿96例(105眼)为研究对象,根据选择使用麻醉的方式不同而将这些患儿分为对照组(n=52,57眼)与观察组(n=44,48眼),对照组采用表面麻醉,观察组采用静吸复合麻醉。比较两组血流动力学指标、治愈率及并发症发生情况。结果两组MAP和HR组间、时间、交互效应比较差异有统计学意义(P<0.05),两组SpO2组间、时间和交互效应比较差异无统计学意义。在麻醉诱导前(T0)、意识消失(T1)、手术开始后1min(T3)、手术开始后5min(T4)时,两组MAP、HR比较差异无统计学意义;在手术开始时(T2),观察组MAP和HR均低于对照组,差异有统计学意义(P<0.05)。两组治愈率比较差异无统计学意义。观察组术后溢泪、形成假道发生率均低于对照组差异有统计学意义(P<0.05);两组呛咳、眼眶蜂窝织炎发生率比较差异无统计学意义。结论静吸复合麻醉应用于小儿泪道探通术中,可维持患儿血流动力学稳定,减少术后溢泪、形成假道等并发症发生,在安全方面更有保障。Objective To compare and analyze the anesthetic effect and safety of combined intravenous-inhalation anesthesia and topical anesthe-sia used in pediatric lacrimal passage probing surgery.Methods A total of 96 children(105 eyes)with congenital lacrimal duct obstruction who un-derwent pediatric lacrimal passage probing surgery admitted to Fushun Eye Hospital from January 2020 to December 2020 were selected as the study subjects,they were divided into control group(n=52,57 eyes)and observation group(n=44,48 eyes)according to different anesthesia methods.The control group received topical anesthesia,while the observation group received combined intravenous-inhalation anesthesia.The hemodynamic in-dexes,cure rate and complications were compared between the two groups.Results There were significant differences in MAP and HR between the two groups of group,time points and interaction(P<0.05),there were no significant differences in SpO2 between the two groups of group,time points and interaction.There was no statistically significant difference at before anesthesia induction(T0),unconsciousness(T1),1 min after the start of the surgery(T3)and 5 min after the start of the surgery(T4)in MAP and HR between the two groups;at the beginning of the surgery(T2),MAP and HR in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).There was no statistically significant difference in the cure rate between the two groups.The incidence of postoperative epiphora and false passage formation in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05),there was no statistically significant difference in the incidence of coughing and orbital cellulitis between the two groups.Conclusion The application of combined intrave-nous-inhalation anesthesia in pediatric lacrimal passage probing surgery can maintain hemodynamic stability,reduce the incidence of complications such as postoperative epiphora and false pass

关 键 词：静吸复合麻醉 表面麻醉 小儿 泪道探通术 

分 类 号：R614[医药卫生—麻醉学]