摘要
目的探究将喉罩麻醉和气管插管麻醉应用于小儿手术麻醉中的效果,评价其临床应用意义。方法回顾性分析本院2017年4月至2018年6月收治的所有小儿常规手术患儿的临床资料,根据实验要求抽取出82例患儿纳入本次研究开展实验,通过随机抽签法将患者分为两组,各41例。对照组应用常规气管插管全身麻醉,实验组应用喉罩麻醉方案进行全身麻醉。记录所有患儿的拔管时间和清醒时间,并评价两组患儿在麻醉完成后的各种不良反应发生率,比较两种麻醉方案的麻醉效果。结果实验组患儿的不良反应发生率为12.20%(5/41),而对照组患儿的不良反应发生率为26.83%(11/41),组间对比差异具有统计学意义(P<0.05)。与对照组患儿的拔管时间和清醒时间比较,实验组患儿明显更短,差异具有统计学意义(P<0.05)。结论对小儿患儿进行手术麻醉时,采用喉罩麻醉方案能够有效提高麻醉效果,缩短拔管时间和清醒时间,有助于减少患儿术后并发症的发生率,是一种较好的麻醉方案,值得在临床上推广使用。
Objective To investigate the effect of laryngeal mask anesthesia and endotracheal intubation anesthesia in pediatric surgery anesthesia, and evaluate its clinical application significance. Methods A retrospective analysis of the general information of all children with routine pediatric surgery from April 2017 to June 2018 in our hospital. According to the requirements of the experiment, 82 children were selected to be included in this study, and the patients were divided into two groups by random lottery, with 41 cases in each group. The control group received general anesthesia with conventional tracheal intubation, and the experimental group underwent general anesthesia with a laryngeal mask anesthesia program. The extubation time and awake time of all children were recorded, and the incidence of various adverse reactions after the anesthesia was completed in both groups was evaluated. The anesthetic effects of the two anesthesia protocols were compared. Results The incidence of adverse reactions in the experimental group was 12.20%(5/41), while the incidence of adverse events in the control group was 26.83%(11/41). The difference between the groups was statistically significant (P<0.05). The extubation time and awake time of the children in the experimental group were significantly shorter than those in the control group, and the difference was statistically significant (P<0.05). Conclusion The laryngeal mask anesthesia can effectively improve the anesthesia effect, shorten the extubation time and awake time, and help reduce the incidence of postoperative complications in children. The anesthesia program is worthy of clinical use.
作者
边春生
Bian Chunsheng(Department of Anesthesiology, Beijing Chaoyang Emergency Rescue Center, Beijing, 100122, China)
出处
《当代医学》
2019年第30期115-116,共2页
Contemporary Medicine
关键词
喉罩麻醉
气管插管麻醉
小儿麻醉
麻醉方案
Laryngeal mask anesthesia
Tracheal intubation anesthesia
Pediatric anesthesia
Anesthesia
