摘要
目的比较两种不同的全麻方法在婴幼儿唇腭裂手术中的应用。方法随机选择拟行唇腭裂修复患儿80例,常规经口气管插管,按双盲法分为插管后保持自主呼吸组S组(对照组),插管后呼吸机械控制组C组(观察组)。观察麻醉前(T1)、气管插官后(T2)、手术结束(T3)和拔管后(T4)的HR、Etco2、SpO2、BP的变化,记录术中及苏醒期的并发症,苏醒时间。结果观察组气管插官后(T2)手术结束(T3)、Etco2明显低于对照组;观察组的HR在T2、T3、T4明显低于对照组,观察组的苏醒时间长于对照组。结论婴幼儿唇腭裂手术插管后呼吸机械控制对患儿的安全性更高,但会延长患儿苏醒时间,增加医疗费用。
Objective To study the two difference anesthesia method on infancy children in cleft lip and palate repairing operation. Method 80 pediatric patients for cleft lip and palate repairing operation were divided into spontaneous respiration group （S group） and controlled respiration group （C group） after intubation randomly. HR, Etco2, SpO2, BP were monitored before anesthesia （T1）, after intubation （T2）, before operation finished （T3） and extubation （T4）. Results ]~tco2 in group C ffere lower in group S at T2 and T3; HR in group S were higher in group C at T2, T3, T4, the time of analepsia in group C is longer then group S. Conclusion Controlled respiration is safer than spontaneous respiration in infancy children in cleft lip and palate repairing operation. But Controlled respiration will prolong the analepsia and cost more money.
出处
《中国医药指南》
2013年第36期355-356,共2页
Guide of China Medicine
关键词
婴幼儿
唇腭裂手术
全麻
Infancy children
Cleft lip and palate repairing operation
General anesthesia
