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目的:观察喉罩通气在小儿多、并指矫形术麻醉气道管理中的应用。方法:60例小儿多、并指矫形术患儿,随机均为Ⅰ组(对照组:D普通面罩)、Ⅱ组(观察组:H喉罩)和Ⅲ组(观察组:Q气管插管),术中均静脉泵注氯胺酮20mg.kg~(-1).h~(-1)、丙泊酚2mg.kg~(-1).h~(-1)。观察3组患儿的HR、MAP、SPO_2的变化及术中用药量、术毕苏醒时间及术后躁动、恶心呕吐及咽部不适等不良反应。结果:Ⅱ纽与Ⅰ组比较差异显著(P<0.01);Ⅱ组与Ⅲ组比较亦有差异(P<0.05)。结论:喉罩通气行小儿多、并指矫形术术中比较平稳,术后苏醒快、不良反应少,效果好,值得推荐应用。
Objective: To observe the application of laryngeal mask ventilation in pediatric anesthesia and airway management. Methods: A total of 60 pediatric patients were randomly divided into group Ⅰ (control group: D general mask), group Ⅱ (observation group: H laryngeal mask) and group Ⅲ (observation group: Q tracheal intubation) Intravenous infusion of ketamine 20mg.kg -1 (h -1), propofol 2mg.kg -1 (h -1). The changes of HR, MAP and SPO_2 in the three groups were observed. The intraoperative drug dosage, the recovery time after surgery, postoperative agitation, nausea, vomiting and throat discomfort were observed. Results: There was a significant difference between group Ⅱ and group Ⅰ (P <0.01). There was also difference between group Ⅱ and group Ⅲ (P <0.05). Conclusions: Laryngeal mask ventilation is more common in pediatric patients, and it is more stable in operation, faster in postoperative recovery, less adverse reactions and good in effect. It is worth recommending.