發(fā)布時(shí)間：2018-06-05 15:45

  本文選題：麻醉 + 喉罩��； 參考：《中華醫(yī)院感染學(xué)雜志》2015年10期

【摘要】：目的探討患兒術(shù)中麻醉喉罩及氣管插管對(duì)于上呼吸道感染的影響,為臨床診治提供參考。方法選取2012年1月-2014年12月100例患兒,均需實(shí)施全麻開(kāi)腹手術(shù),按照麻醉管理方案分為對(duì)照組與觀察組,各50例,對(duì)照組使用氣管插管,觀察組使用ProSeal喉罩,對(duì)比兩組患兒不同時(shí)間節(jié)點(diǎn)心率、術(shù)后1d感染率及感染癥狀。結(jié)果觀察組與對(duì)照組麻醉前、麻醉誘導(dǎo)后、術(shù)中心率對(duì)比差異無(wú)統(tǒng)計(jì)學(xué)意義,置入喉罩或氣管插管時(shí)、拔除喉罩或氣管插管時(shí)觀察組心率分別為(113.59±6.31)、(114.42±8.14)/min,明顯低于對(duì)照組,對(duì)比差異有統(tǒng)計(jì)學(xué)意義(P0.01);對(duì)照組感染率為18.00%,明顯高于觀察組6.00%,對(duì)比差異有統(tǒng)計(jì)學(xué)意義(P0.01),對(duì)照組發(fā)熱、肺部Up音、咳痰液、喘鳴、低氧血癥發(fā)生率均高于觀察組,對(duì)比差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論全麻開(kāi)腹術(shù)中使用喉罩進(jìn)行氣道管理對(duì)于患兒刺激性小,利于手術(shù)順利進(jìn)行,同時(shí)術(shù)后感染率低,感染癥狀輕,利于術(shù)后恢復(fù)。
[Abstract]:Objective to investigate the effect of laryngeal mask and tracheal intubation on upper respiratory tract infection in children. Methods from January 2012 to December 2014, 100 children were divided into two groups: the control group (n = 50) and the observation group (n = 50). Tracheal intubation was used in the control group and ProSeal larynx mask was used in the observation group. The heart rate at different time, infection rate and infection symptom were compared between the two groups. Results there was no significant difference in heart rate between the observation group and the control group before anesthesia and after anesthesia induction. When the laryngeal mask or tracheal intubation was placed, the heart rate in the observation group was 113.59 鹵6.31 min, 114.42 鹵8.14 min, which was significantly lower than that in the control group. The infection rate of the control group was 18.00, which was significantly higher than that of the observation group (6.00, P 0.01). The incidence of fever, pulmonary up, expectoration, wheezing and hypoxemia in the control group was higher than that in the observation group. The difference was statistically significant (P 0.05). Conclusion using laryngeal mask to manage the airway in general anesthesia is less irritating and beneficial to the successful operation. At the same time, the infection rate is low, the infection symptom is light, and the postoperative recovery is beneficial.
【作者單位】： 嵊州市人民醫(yī)院麻醉科;浙江大學(xué)醫(yī)學(xué)院附屬第一醫(yī)院麻醉科;杭州市第一人民醫(yī)院麻醉科;
【基金】：浙江省衛(wèi)生廳基金資助項(xiàng)目(2013KYB244)
【分類(lèi)號(hào)】：R726.1

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本文編號(hào)：1982516