【摘要】：目的評(píng)價(jià)拉爾森手法用于預(yù)防腦癱患兒氣管拔管后喉痙攣的臨床效果。方法選擇本院2015年2-10月?lián)衿谛心X癱手術(shù)患兒80例,年齡2~12歲,體質(zhì)量10~32kg,美國(guó)麻醉醫(yī)師協(xié)會(huì)(ASA)分級(jí)Ⅰ~Ⅱ級(jí),性別不限。采用隨機(jī)數(shù)字表法分為兩組,拉爾森手法組(L組)和對(duì)照組(C組),每組40例。觀察并記錄兩組患兒拔管即刻(T_1)、拔管后1min(T_2)、拔管后3min(T_3)、拔管后5min(T_4)的心率(HR)、呼吸頻率(RR)、脈搏血氧飽和度(SpO_2)、呼氣末二氧化碳(PETCO_2),并記錄拔管后兩組患兒發(fā)生喉痙攣的例數(shù)。結(jié)果與C組比較,L組拔管后蘇醒時(shí)間明顯縮短(P0.01);與L組比較,C組在T_2、T_3時(shí)SpO_2下降,PETCO_2明顯上升(P0.05),L組喉痙攣的發(fā)生率為7.5%(3/40),對(duì)照組為27.5%(11/40),兩組比較差異有統(tǒng)計(jì)學(xué)意義(χ2=5.541,P0.05)。結(jié)論采用拉爾森手法可縮短腦癱患兒蘇醒時(shí)間,較好地預(yù)防和治療腦癱患兒氣管拔管后喉痙攣發(fā)生和發(fā)展。
[Abstract]:Objective to evaluate the clinical effect of Larsen's manipulation in preventing laryngospasm after tracheal extubation in children with cerebral palsy. Methods Eighty children with cerebral palsy from February to October 2015 were enrolled in our hospital. The age was 12 years old and the body mass was 1032 kg. The American Association of Anesthesiologists (ANA) (ASA) grade 鈪，

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