论文部分内容阅读
目的:观察丙泊酚靶控输注在肥胖患儿外伤性白内障术中麻醉并发症的发生情况,并探讨其防治方法。方法:按体质指数分别选择肥胖患者(肥胖组)和正常体重患者(正常体重组)各30例。两组均给予靶控输注丙泊酚麻醉,记录两组患儿循环呼吸变化、手术时间、麻醉时间、术者对麻醉满意度的主观评价,离开手术室时苏醒程度评分,术中及苏醒后出现的并发症。结果:与正常体重组相比,肥胖组手术时间、麻醉时间均明显延长(P<0.05),术者对麻醉满意度的主观评价及离开手术室时苏醒程度评分偏低,且呼吸系统并发症的发生率明显增加(P<0.05),其余指标无统计学差异。结论:肥胖患儿丙泊酚靶控输注中容易发生呼吸道并发症,且苏醒时间延长,因而要加强呼吸道的管理。
Objective: To observe the occurrence of anesthesia complications of propofol target-controlled infusion in obese children with traumatic cataract surgery and to explore its prevention and treatment. Methods: The body mass index were selected obese patients (obese group) and normal weight patients (normal weight group) of 30 cases. Target-controlled infusion of propofol was given to both groups, and the changes of circulatory respiration, operation time, anesthesia time, subjective evaluation of anesthesia satisfaction, score of awakening when leaving the operating room, intraoperative and wakefulness After the complications. Results: Compared with the normal weight group, the operation time and anesthesia time in the obese group were significantly longer (P <0.05). The subjective assessment of anesthesia satisfaction and the awakening score in the operating room were lower and the respiratory complications The incidence was significantly increased (P <0.05), the remaining indicators no significant difference. Conclusion: Propofol targeted therapy in obese children prone to respiratory complications, and wake up longer, and therefore to strengthen the respiratory tract management.