喉罩和气管插管用于小儿麻醉的观察及安全性分析
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摘要
目的探讨小儿麻醉应用喉罩和气管插管方案效果及安全性对比情况。方法选择我院2017年2月—2018年2月收治行短小手术的患儿300作为研究对象,将其随机分为观察组(喉罩麻醉,n=150)与对照组(气管插管麻醉,n=150),对比两组患儿的麻醉效果及安全性展开对比。结果两组患儿的麻醉总有效率对比,差异无统计学意义(P>0.05);观察组术后拔管时间、苏醒时间均短于对照组,并发症率低于对照组,差异均具有统计学意义(P<0.05)。结论小儿手术采用喉罩和气管插管两种麻醉方式均可起到一定作用,但喉罩麻醉可缩短康复进程,并可保障临床安全。
Objective To explore the efficacy and safety of laryngeal mask airway and endotracheal intubation in pediatric anesthesia. Methods 300 children with short operation were selected in our hospital from February 2017 to February 2018 and were randomly divided into two groups. The effect and safety of laryngeal mask anesthesia(observation group, n=150) and tracheal intubation anesthesia(control group, n=150) were compared. Results The total effective rate of the two groups was compared, the difference was not statistically significant(P>0.05), and the time of extubation and recovery were shorter in the observation group than in the control group, and the complication rate was lower than that of the control group, the difference was statistically significant(P<0.05). Conclusion The two anesthetic methods of laryngeal mask and tracheal intubation can play a certain role in children's operation, but laryngeal mask anesthesia can shorten the process of rehabilitation and ensure clinical safety.
Objective To explore the efficacy and safety of laryngeal mask airway and endotracheal intubation in pediatric anesthesia. Methods 300 children with short operation were selected in our hospital from February 2017 to February 2018 and were randomly divided into two groups. The effect and safety of laryngeal mask anesthesia(observation group, n=150) and tracheal intubation anesthesia(control group, n=150) were compared. Results The total effective rate of the two groups was compared, the difference was not statistically significant(P>0.05), and the time of extubation and recovery were shorter in the observation group than in the control group, and the complication rate was lower than that of the control group, the difference was statistically significant(P<0.05). Conclusion The two anesthetic methods of laryngeal mask and tracheal intubation can play a certain role in children's operation, but laryngeal mask anesthesia can shorten the process of rehabilitation and ensure clinical safety.
引文
[1]顾小鹏.观察分析喉罩麻醉和气管插管麻醉在婴儿麻醉中的临床效果[J].中国医药指南,2014,12(17):292-293.
[2]范文锋,蒋建平,钟东海,等.喉罩与气管插管在小儿全身麻醉中的对比观察[J].当代医学,2013,19(27):33-35.
[3]梁星宝.喉罩和气管插管麻醉在小儿腹部手术中的应用效果比较[J].现代诊断与治疗,2016,27(2):310-311.
[4]吴开华,赵佩君,黎天才,等.喉罩麻醉和气管插管麻醉的对比分析[J].现代诊断与治疗,2015,26(19):4521-4522.
[5]张莉莉,覃能.喉罩麻醉与气管插管麻醉在上儿麻醉中的效果比较[J].医学信息,2016,29(25):86-87.
[6]张娇娇,刘丽霞.喉罩与气管插管在小儿全凭静脉麻醉中的应用效果观察[J].中国当代医药,2014,21(33):90-91.
[7]朱诗利,屈双权,张溪英.喉罩麻醉和气管插管麻醉在小儿麻醉中的对比研究[J].临床医学工程,2016,23(6):767-768.
[8]Li Xz,Xia Q,Li W.Comparison of the effects of dezocine,fentanyl,and placebo on emergence agitation after sevoflurane anesthesia in children[J].International Journal of Clinical Pharmacology and Therapeutics,2015,53(3):241-246.
[9]郑小虎,王卫华,李娟.小儿麻醉中喉罩全麻与气管插管麻醉的对比分析[J].中国医学工程,2015,23(10):41,44.
[10]彭会丽.对比分析喉罩麻醉与气管插管麻醉在婴儿麻醉中的安全性及临床效果[J].中国实用医药,2014,9(22):169-170.
[11]Kim HS,Byon HJ,Kim JE,et al.Appropriate dose of dexmedetomidine for the prevention of emergence agitation after desflurane anesthesia for tonsillectomy or adenoidectomy in children:up and down sequential allocation[J].BMC Anesthesiol,2015,15:79.
[12]梁锐枝.喉罩麻醉与气管插管麻醉在婴幼儿麻醉中的应用对比分析[J].中国实用医药,2015,10(13):200-202.
[2]范文锋,蒋建平,钟东海,等.喉罩与气管插管在小儿全身麻醉中的对比观察[J].当代医学,2013,19(27):33-35.
[3]梁星宝.喉罩和气管插管麻醉在小儿腹部手术中的应用效果比较[J].现代诊断与治疗,2016,27(2):310-311.
[4]吴开华,赵佩君,黎天才,等.喉罩麻醉和气管插管麻醉的对比分析[J].现代诊断与治疗,2015,26(19):4521-4522.
[5]张莉莉,覃能.喉罩麻醉与气管插管麻醉在上儿麻醉中的效果比较[J].医学信息,2016,29(25):86-87.
[6]张娇娇,刘丽霞.喉罩与气管插管在小儿全凭静脉麻醉中的应用效果观察[J].中国当代医药,2014,21(33):90-91.
[7]朱诗利,屈双权,张溪英.喉罩麻醉和气管插管麻醉在小儿麻醉中的对比研究[J].临床医学工程,2016,23(6):767-768.
[8]Li Xz,Xia Q,Li W.Comparison of the effects of dezocine,fentanyl,and placebo on emergence agitation after sevoflurane anesthesia in children[J].International Journal of Clinical Pharmacology and Therapeutics,2015,53(3):241-246.
[9]郑小虎,王卫华,李娟.小儿麻醉中喉罩全麻与气管插管麻醉的对比分析[J].中国医学工程,2015,23(10):41,44.
[10]彭会丽.对比分析喉罩麻醉与气管插管麻醉在婴儿麻醉中的安全性及临床效果[J].中国实用医药,2014,9(22):169-170.
[11]Kim HS,Byon HJ,Kim JE,et al.Appropriate dose of dexmedetomidine for the prevention of emergence agitation after desflurane anesthesia for tonsillectomy or adenoidectomy in children:up and down sequential allocation[J].BMC Anesthesiol,2015,15:79.
[12]梁锐枝.喉罩麻醉与气管插管麻醉在婴幼儿麻醉中的应用对比分析[J].中国实用医药,2015,10(13):200-202.