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目的探讨双管喉罩在小儿眼科手术中的应用效果。方法将我院2012年1月-2013年7月行眼科手术的94例患儿分为双管喉罩组50例、气管导管组44例,比较两组麻醉效果及不良反应情况。结果双管喉罩组麻醉起效时间短于气管导管组、丙泊酚用量少于气管导管组、麻醉不良反应少于气管导管组(P<0.05),两组手术维持时间、苏醒时间与瑞芬太尼用量无统计学差异(P>0.05)。结论双管喉罩在小儿眼科手术中的临床效果满意,能明显缩短麻醉起效时间,减少麻醉不良反应,值得临床关注。
Objective To explore the application effect of double laryngeal mask in pediatric ophthalmic surgery. Methods Ninety-four children who underwent ophthalmic surgery from January 2012 to July 2013 in our hospital were divided into two groups: 50 patients in double laryngeal mask group and 44 patients in tracheal catheter group. The anesthetic effects and adverse reactions were compared between the two groups. Results The onset time of anesthesia in the two - tube laryngeal mask group was shorter than that in the tracheal catheter group, the dosage of propofol was less than that in the endotracheal tube group, and the adverse reaction was less than that in the endotracheal tube group (P <0.05). The operative maintenance time, There was no significant difference in the amount of remifentanil (P> 0.05). Conclusions The clinical efficacy of double-tube laryngeal mask in pediatric ophthalmic surgery is satisfactory, which can significantly shorten the onset time of anesthesia and reduce the adverse reactions of anesthesia, which deserves clinical attention.