气管插管保留自主呼吸全身麻醉用于小儿唇裂手术的安全性分析
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  • 英文篇名:Safety analysis of tracheal intubation with spontaneous respiratory general anesthesia in children's cleft lip surgery
  • 作者:赵奉 ; 张华
  • 英文作者:Zhao Feng;Zhang Hua;Department of Anesthesiology,the Civil Rehabilitation Center of Xinjiang Uygur Autonomous Region(Urumqi);Department of Anesthesiology,the Second Hospital Aiming at Saving Paupers of Xinjiang Uygur Autonomous Region;
  • 关键词:小儿唇裂手术 ; 气管插管 ; 自主呼吸 ; 全身麻醉
  • 英文关键词:Cleft lip operation in children;;Tracheal intubation;;Autonomic respiration;;General anesthesia
  • 中文刊名:XCYS
  • 英文刊名:Chinese Community Doctors
  • 机构:新疆维吾尔自治区民政康复中心麻醉科(乌鲁木齐);新疆维吾尔自治区第二济困医院麻醉科(乌鲁木齐);
  • 出版日期:2018-06-15
  • 出版单位:中国社区医师
  • 年:2018
  • 期:v.34
  • 语种:中文;
  • 页:XCYS201817044
  • 页数:2
  • CN:17
  • ISSN:22-1405/R
  • 分类号:73+75
摘要
目的:研究气管插管保留自主呼吸全身麻醉用于小儿唇裂手术中的效果。方法:收治唇裂手术患儿70例,平分为两组。观察组接受U型气管插管保留自主呼吸全身麻醉,对照组接受普通气管插管控制呼吸全身麻醉,比较手术效果。结果:观察组T_1时间点PETCO_2明显高于对照组T_1时间点结果,拔管后T_2时间点心率明显高于其他时间点,差异有统计学意义(P<0.05)。结论:小儿唇裂手术中应用U型气管插管保留自主呼吸全身麻醉安全性更高。
        Objective:To investigate the effect of tracheal intubation with spontaneous respiratory general anesthesia in children's cleft lip surgery.Methods:70 children with cleft lip operation were selected.They were divided into the two groups on average.The observation group received type U tracheal intubation to retain the autonomous respiratory general anesthesia.The control group received general tracheal intubation to control respiratory general anesthesia.We compared the effect of operation.Results:The time point PETCO_2 at T1 in the observation group was significantly higher than that of the control group at the time point of T_1.After extubation,the T_2 time dessert rate was significantly higher than that of other time points.and the difference was statistically significant(P<0.05).Conclusion:The application of U type tracheal intubation to retain the autonomic anaesthesia in children's cleft lip operation is more safe.
引文
[1]张双银,刘婕婷,王敏,等.罗哌卡因复合地塞米松双侧眶下神经阻滞对小儿唇裂修复术后疼痛与应激水平的影响[J].国际麻醉学与复苏杂志,2017,38(9):818-821.
    [2]马扬,孙雪晨,杨悦,等.Glide Scope视频喉镜和Macintosh直接喉镜在单纯唇裂婴儿全身麻醉经口气管插管中的应用[J].临床与病理杂志,2017,37(4):761-765.
    [3]姚茵,王一君.不同剂量芬太尼麻醉对小儿唇腭裂手术中平均动脉压及心率的影响[J].贵阳医学院学报,2015,40(2):156-158.
    [4]刘婕婷,夏鑫,申希平,等.罗哌卡因联合地佐辛多模式镇痛在小儿唇裂修复术中的应用及其术后镇痛效果评价[J].吉林大学学报(医学版),2016,42(4):807-812.

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