膈肌超声在婴幼儿全麻术后拔管临床运用研究  

Clinical Application of Diaphragm Ultrasound in Extubation of Infants After General Anesthesia

作　　者：张合茂 王国庆 文海生 ZHANG He-mao;WANG Guo-qing;WEN Hai-sheng(Qiandongnan Miao and Dong Autonomous Prefecture People’s Hospital,Guizhou Kaili 556000)

机构地区：[1]黔东南苗族侗族自治州人民医院,贵州凯里556000

出　　处：《中国医疗器械信息》2025年第6期17-19,共3页China Medical Device Information

基　　金：黔东南州科技计划(自筹资金)项目(项目名称:膈肌超声在婴幼儿全麻术后拔管临床运用研究,项目编号:黔东南科合J字[2023]136号)。

摘　　要：目的:探讨膈肌超声在婴幼儿全麻术后拔管临床运用研究。方法:选择本院6个月~3岁行非胸科、非气道择期手术、麻醉ASA分级为Ⅰ~Ⅱ级全身麻醉患儿,随机分为对照组(n=30)和观察组(n=30),对照组根据临床征象拔管,观察组根据膈肌超声参数拔管,对比不同时间点的膈肌厚度及膈肌移动度,术后恢复时间以及拔管后30min内不良事件情况。结果:在T3时刻,观察组的膈肌厚度与膈肌移动度相较于对照组均有显著增加(P<0.05),但在T1和T2时刻,两组间的膈肌厚度和膈肌移动度差异不显著(P>0.05);观察组拔管时间、麻醉恢复室停留时间、住院时间均短于对照组,拔管后不良事件发生率低于对照组(P<0.05)。结论:膈肌超声在婴幼儿全麻术后拔管临床运用效果显著,能优化拔管时机决策,减少不良事件发生率,缩短术后恢复时间。Objective:To explore the clinical application of diaphragm ultrasound in extubation after general anesthesia in infants.Methods:Children aged 6 months to 3 years who underwent elective surgery anesthesia for non-thoracic and non-airway surgery in our hospital were randomly divided into control group(n=30)and observation group(n=30).The control group was extubated according to clinical signs,while the observation group was extubated according to ultrasonic parameters of diaphragm.The diaphragm thickness and diaphragm mobility at different time points,postoperative recovery time and duration of extubation were compared.Results:Compared with the control group,the diaphragm thickness and diaphragm mobility in the observation group increased significantly at T3(P<0.05),but there was no significant difference between the two groups at T1 and T2(P>0.05).The extubation time,stay time in anesthesia recovery room and hospitalization time in the observation group were shorter than those in the control group,and the incidence of adverse events after extubation was lower than that in the control group(P<0.05).Conclusion:Diaphragmatic ultrasound is effective in extubation of infants after general anesthesia,which can optimize the timing of extubation,reduce the incidence of adverse events and shorten the postoperative recovery time.

关 键 词：婴幼儿 全麻术后 膈肌超声 拔管 

分 类 号：R445.1[医药卫生—影像医学与核医学]