發(fā)布時(shí)間：2019-03-21 20:27

【摘要】：目的回顧性分析七氟醚吸入麻醉輔助低齡兒童舌系帶矯治術(shù)中的應(yīng)用效果,探討其臨床應(yīng)用特點(diǎn)和安全性。方法選取2013年1月至2014年4月在廣州市婦女兒童醫(yī)療中心口腔科就診、符合手術(shù)適應(yīng)證的1~4周歲兒童共187例,完善術(shù)前準(zhǔn)備,術(shù)中以吸入七氟醚+氧氣進(jìn)行麻醉,完成舌系帶矯治術(shù),術(shù)中連續(xù)檢測(cè)脈搏、呼吸頻率、心電圖、血壓及末梢血氧飽和度,術(shù)后留院觀察,直至Aldrete評(píng)分≥9分方可離院,術(shù)后進(jìn)行隨訪,資料統(tǒng)計(jì)分析。結(jié)果 187例患兒均在理想的麻醉狀態(tài)下完成手術(shù),術(shù)中各項(xiàng)生命體征平穩(wěn),麻醉使患兒睫毛反射消失時(shí)間為30~90 s,平均時(shí)間為(48±9.3)s,手術(shù)時(shí)間為10~20 min,平均時(shí)間為(17.2±5.7)min,術(shù)后5~15 min蘇醒,平均復(fù)蘇時(shí)間為(7.4±8.3)min。復(fù)蘇期52例患兒出現(xiàn)煩躁哭鬧,占手術(shù)患兒的27.81%,2例(1.1%)患兒術(shù)后出現(xiàn)一過(guò)性發(fā)熱癥狀,術(shù)中、術(shù)后均未發(fā)生惡心、嘔吐等不良反應(yīng)。術(shù)后隨訪未發(fā)現(xiàn)麻醉及手術(shù)不良并發(fā)癥。結(jié)論應(yīng)用七氟醚吸入麻醉輔助低齡兒童舌系帶矯治術(shù),起效快、復(fù)蘇快,不良反應(yīng)少,臨床效果顯著。
[Abstract]:Objective to analyze retrospectively the clinical application characteristics and safety of sevoflurane inhalation anesthesia in the treatment of hyoid band correction in young children. Methods from January 2013 to April 2014, 187 cases of 1-4-year-old children were selected from the Department of stomatology, Guangzhou Medical Center for Women and Children. The preoperative preparation was improved and sevoflurane oxygen inhalation was used for anesthesia during the operation. The tongue band correction was completed. The pulse, respiratory rate, electrocardiogram, blood pressure and oxygen saturation of peripheral blood were continuously measured during the operation. After operation, the patients were kept for observation until the Aldrete score 鈮，

本文編號(hào)：2445293