婴儿麻醉中喉罩麻醉与气管插管麻醉的应用效果和安全性分析

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1、婴儿麻醉中喉罩麻醉与气管插管麻醉的应用效果和安全性分析刘晓芬胡宪文张野(通讯作者)(安徽医科人学第二附属医院麻醉科230601)【摘要】A的探讨婴儿麻醉屮喉罩麻醉与气管插管麻醉的应用效果和安全性。方法选取我院采取手术治疗的婴儿患者31例，进行按数字法随机为观察组和对照组，各组15例。观察组患儿给予喉罩麻醉，对照组患儿给予气管插管麻醉，然后比较分析相关指标。结果观察组患儿在Tl、T2、T3时间段的MAP和HR与对照组患儿相比，比较差异不具有统计学意义(P>0.05);但是观察组患儿在T4、T5时间段的MAP和HR均显著低于对照组患儿，比较差异具有统计学意义(P<0.05)。观察组患

2、儿的拔管时间和清醒时间均显著低于对照组患儿，比较差异具有统计学意义(P<0.05)。观察组患儿置管后PETCO2显著高于对照组患儿，比较差异具有统计学意义(P<0.05);观察组患儿置管后Ppeak显著低于对照组患儿，比较差异具有统计学意义(P<0.05)。结论喉罩麻醉在婴儿手术麻醉屮的应用，具有损伤较小，苏醒较快，安全性较高的临床优势。【关键词】婴儿麻醉喉罩麻醉气管插管麻醉临床效果安全性【屮图分类号】R614【文献标识码】A【文章编号】2095-1752(2014)08-0210-02Analysisoftheapplicationeffectandsafetybetwe

3、enInfantanesthesialaryngealmaskanesthesiaandTrachealintubationLIUXiao-fen，HUXian-wen，ZHANGYe.DepartmentofAnesthesiology,TheSecondAffiliatedHospitalofAnhuiMedicalUniversityAnhuiprovince230601【Abstract】ObjectiveToexploretheapplicationoflaryngealmaskanesthesiaininfantanesthesiaeffectofanesthesiaandtra

4、chealintubationandsafety.MethodsSelected31infantpatientswhoweretreatedbyoperationinourhospital,accordingtodigitalmethod，randomlythemintoobservationgroupandcontrolgroup,15casesineachgroup.Theobservationgroupweregiventhelaryngealmaskanesthesia,thecontrolgroupweregiventhetrachealintubationanesthesia,t

5、hentookacomparativeanalysistorelevantindicators.ResultsComparedtheTl,T2,T3timeoftheMAPandHRbetweenobservationgroupandthecontrolgroup,thedifferencewasnotstatisticallysignificant(P>0.05);butinobservationgroupatT4,T5time,MAPandHRweresignificantlylowerthanthatinthecontrolgroup,withsignificantdiffere

6、nce(P<O.O5).Theextubationtimesandwaketimesinobservationgroupweresignificantlylowerthanthatinthecontrolgroup,withsignificantdifference(P<0.05).TheobservationgroupwithcatheterafterPETCO2wassignificantlyhigherthanthatincontrolgroup,withsignificantdifference(P<0.05);theobservationgroupwithcath

7、eterafterPpeakweresignificantlylowerthanthoseofcontrolgroup,withsignificantdifference(P<O.O5).ConclusionTheapplicationoflaryngealmaskanesthesiaininfantsduringtheoperation,lessinjuryrecoveryisfaster,highe