本文選題：上呼吸道感染 + 短小手術(shù)��； 參考：《微創(chuàng)醫(yī)學(xué)》2016年05期

【摘要】：目的探討小兒小腸疝氣伴上呼吸道感染行腹腔鏡手術(shù)的麻醉選擇。方法將100例擬接受腹腔鏡手術(shù)治療的小腸疝氣伴上呼吸道感染患兒按照隨機(jī)數(shù)字表法分成對(duì)照組與觀察組,每組50例。對(duì)照組給予以氯胺酮為主的基礎(chǔ)麻醉,觀察組給予全憑七氟烷吸入麻醉。比較兩組睫毛反射消失時(shí)間、完全清醒時(shí)間、手術(shù)時(shí)間、呼吸道分泌物增加等情況。結(jié)果觀察組完全清醒時(shí)間顯著低于對(duì)照組,觀察組呼吸道分泌物增加不良反應(yīng)發(fā)生率為6.0%(3/50),明顯低于對(duì)照組的24.0%(12/50)(P0.05)。兩組睫毛反射消失時(shí)間、手術(shù)時(shí)間比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論在小腸疝氣行腹腔鏡手術(shù)治療的伴上呼吸道感染患兒中選擇全憑七氟烷吸入麻醉,能有效減少呼吸道的刺激,有助于手術(shù)的順利進(jìn)行,術(shù)后意識(shí)恢復(fù)快、安全性高,值得臨床廣泛應(yīng)用。
[Abstract]:Objective to investigate the anesthetic choice of laparoscopic surgery for small intestinal hernia with upper respiratory tract infection in children. Methods 100 children with intestinal hernia associated with upper respiratory tract infection were divided into control group (n = 50) and observation group (n = 50). The control group was given ketamine-based anesthesia and the observation group was given total sevoflurane inhalation anesthesia. The time of disappearance of eyelash reflex, the time of complete wakefulness, the time of operation and the increase of respiratory tract secretion were compared between the two groups. Results the total waking time in the observation group was significantly lower than that in the control group. The incidence of adverse reactions in the observation group was 6. 0 / 50, which was significantly lower than that in the control group (24. 0 / 12 / 50) and the incidence of adverse reactions was 0. 05% (P < 0. 05). There was no significant difference in the time of disappearance of eyelash reflex and operative time between the two groups (P 0.05). Conclusion the total sevoflurane inhalation anesthesia in children with upper respiratory tract infection after laparoscopic operation for small intestinal hernia can effectively reduce respiratory irritation, facilitate the smooth progress of operation, recover consciousness quickly and have high safety after operation. It is worthy of extensive clinical application.
【作者單位】： 廣東省深圳市遠(yuǎn)東婦兒科醫(yī)院麻醉科;
【分類號(hào)】：R726.1

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本文編號(hào)：1911841