儿童吸入麻醉专用面罩的临床应用  

Clinical application of inhalation anesthesia special face mask for children

作　　者：黄月伟 王海燕[1] 高特生[1] HUANG Yuewei;WANG Haiyan;GAO Tesheng(Department of Anesthesiology,Jiaxing Hospital of Traditional Chinese Medicine,Jiaxing 314000,CHINA)

机构地区：[1]嘉兴市中医医院麻醉科,浙江314000

出　　处：《江苏医药》2024年第9期886-890,共5页Jiangsu Medical Journal

基　　金：浙江省医药卫生科技计划项目(2020-2020PY076)。

摘　　要：目的 观察儿童吸入麻醉专用面罩的临床应用效果。方法 3~6岁单侧斜视患儿100例随机均分为两组,均采用七氟烷吸入麻醉。A组麻醉诱导采用儿童吸入麻醉专用面罩;C组麻醉诱导采用普通面罩。比较两组麻醉诱导时间、麻醉时间和苏醒时间。记录麻醉诱导前(T0)、麻醉诱导开始(T1)、麻醉5min(T2)和10min(T3)时舒张压、收缩压及心率。记录术后不良反应发生情况。检测T1~T3时两组患儿口鼻旁和工作平台的空气样本中七氟烷体积浓度。结果 与C组比较,A组麻醉诱导时间缩短(P<0.05)。两组麻醉时间和苏醒时间相仿(P>0.05)。两组T0~T3时舒张压、收缩压及心率均相仿(P>0.05)。两组术后不良反应发生率相仿(P>0.05)。A组T1时口鼻旁和工作平台七氟烷体积浓度低于C组(P<0.01)。结论 与普通面罩比较,儿童吸入麻醉专用面罩能有效避免儿童吸入麻醉诱导过程中麻醉气体泄漏,缩短麻醉诱导时间,安全性好。Objective To observe the clinical application of the inhalation anesthesia special face mask for children.Methods A total of 100 children with unilateral strabismus aged 3 to 6 years undergoing sevoflurane inhalation anesthesia were randomly divided into two groups with 50 cases each.Sevoflurane inhalation anesthesia induction and maintenance were performed with the special face mask in group A and with a conventional face mask in group C.Anesthesia induction time,anesthesia time and recovery time were compared between the two groups.Diastolic blood pressure,systolic blood pressure and heart rate were recorded before anesthesia induction(To),at early time after face mask placement(T1),at 5 minutes(T2)and 10 minutes(T3)during anesthesia.The occurrence of postoperative adverse reactions was observed.Sevoflurane volume concentration was detected in the air samples near the mouth and nose and on the work platform of two groups at T1-T3.Results Compared with group C,anesthesia induction time in group A was shorter(P<0.05).The anesthesia time and recovery time of two groups were similar(P>0.05).Diastolic blood pressure,systolic blood pressure and heart rate at TO-T3 of the two groups were similar(P>0.05).The incidences of postoperative adverse reactions of the two groups were similar as well(P>0.05).The volume concentration of sevoflurane near the mouth and nose and on the work platform in group A was lower than that in group C at T1(P<0.01).Conclusion Compared to the conventional face mask for children,the inhalation anesthesia special face mask for children can effectively avoid the leakage of anesthetic gas during the induction of inhalation anesthesia,shorten the induction time of anesthesia induction with good safety.

关 键 词：专用面罩 吸入麻醉 儿童 

分 类 号：R614[医药卫生—麻醉学]