喉罩麻醉與氣管插管麻醉在嬰兒麻醉中的應(yīng)用效果對比
本文選題:喉罩麻醉 + 氣管插管麻醉; 參考:《航空航天醫(yī)學(xué)雜志》2016年09期
【摘要】:目的探討喉罩麻醉與氣管插管麻醉在嬰兒麻醉中的應(yīng)用效果對比。方法選取62例擇期手術(shù)患兒,數(shù)字抽取分成觀察組和對照組,觀察組應(yīng)用喉罩麻醉,對照組予以氣管插管麻醉,對比兩組中心靜脈壓(MAP)、心率(HR)、置入導(dǎo)管前后呼末的氣道峰壓(Ppeak)、二氧化碳分壓(PETC02)變化,導(dǎo)管拔管時間及清醒時間。結(jié)果觀察組導(dǎo)管拔管時間、清醒時間少于對照組(P0.05);觀察組MAP、HR變化及Ppeak均低于對照組(P0.05);觀察組PETC02變化高于對照組(P0.05)。結(jié)論嬰兒麻醉中喉罩麻醉與氣管插管麻醉比較操作更為簡便、氣道損傷低、蘇醒快等優(yōu)勢明顯,臨床應(yīng)用價值更高。
[Abstract]:Objective to compare the application of laryngeal mask anesthesia and tracheal intubation anesthesia in infants.Methods Sixty-two children undergoing elective operation were divided into observation group and control group. Laryngeal mask anesthesia was used in the observation group and tracheal intubation anesthesia was performed in the control group.The changes of central venous pressure (MAPP), heart rate (HRV), peak airway pressure (Ppeaka) and carbon dioxide partial pressure (PETC02) before and after catheter placement were compared between the two groups. The extubation time and waking time of the catheter were also compared between the two groups.Results the time of catheter extubation in the observation group was less than that in the control group (P 0.05), the changes of HR and Ppeak in the observation group were lower than those in the control group (P 0.05), and the change of PETC02 in the observation group was higher than that in the control group (P 0.05).Conclusion laryngeal mask anesthesia is more convenient than tracheal intubation anesthesia in infant anesthesia. The advantages of lower airway injury and faster recovery are obvious, and the clinical application value is higher than that of larynx mask anesthesia and tracheal intubation anesthesia.
【作者單位】: 佛山市第一人民醫(yī)院;
【分類號】:R726.1
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