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目的探讨喉罩静吸复合麻醉在小儿外科短小手术中的应用效果及安全。方法随机将60例择期进行手术治疗的患儿分成观察组和对照组各30例,所有患儿按照美国麻醉医师协会(ASA分级)Ⅰ~Ⅱ级,观察组采用喉罩静吸复合麻醉,对照组采用全凭静脉麻醉。比较两组患儿生命体征变化、术中镇痛、镇静效果、手术时间、苏醒时间及术后不良反应比较。结果观察组和对照组HR、MAP在T2、T3、T4、T5差异具有统计学意义(P<0.05),观察组和对照组Sp O2在T3、T4时刻差异具有统计学意义(P<0.05);HR、MAP、Sp O2在T1时刻两组间比较差异均不具有统计学意义(P>0.05)。组内同T1时刻比较,对照组的HR、MAP在T2、T3、T4、T5时刻及Sp O2在T3、T4时刻与T1时刻比较差异均具有统计学意义(P<0.05);观察组的HR、MAP、Sp O2在各个时刻与T1时刻比较差异均不具有统计学意义(P>0.05)。观察组患儿的术中镇痛效果评分OAA/S显著低于对照组且差异具有统计学意义(P<0.05)。结论喉罩静吸复合麻醉在小儿外科短小手术中具有较好的术中镇痛效果,同时患儿的生命体征较为平稳,术后不良反应发生率低。
Objective To investigate the effect and safety of laryngeal mask combined inhalation anesthesia in pediatric surgical short operation. Methods A total of 60 children undergoing elective surgery were randomly divided into observation group (30 cases) and control group (30 cases). All children were treated with American Society of Anesthesiologists (ASA) Ⅰ ~ Ⅱ, Group using full intravenous anesthesia. The changes of vital signs, intraoperative analgesia, sedation, operation time, recovery time and postoperative adverse reactions were compared between the two groups. Results There were significant differences in HR, MAP at T2, T3, T4 and T5 between the observation group and the control group (P <0.05), and there was significant difference between the observation group and the control group at T3 and T4 (P <0.05) ; HR, MAP, Sp O2 at T1 time difference between the two groups were not statistically significant (P> 0.05). Compared with T1, the HR, MAP of control group at T2, T3, T4, T5 and Sp O2 at T3 and T4 were significantly different from those at T1 (P <0.05) , MAP, Sp O2 at all times and T1 time difference was not statistically significant (P> 0.05). The intraoperative analgesia score of OAA / S in observation group was significantly lower than that in control group (P <0.05). Conclusion Combined laryngeal anesthesia with anesthesia in pediatric surgical short surgery has a good intraoperative analgesic effect, while children with stable vital signs, postoperative adverse reaction rate is low.