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.docVIP

精品论文 参考文献 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） 　　(安徽医科大学第二附属医院麻醉科 230601) 　　【摘要】目的 探讨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。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T1、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（Pgt;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（Plt;0.05）。观察组患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（Plt;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（Plt;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（Plt;0.05）。结论 喉罩麻醉在婴儿手术麻醉中的应用，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 　　【中图分类号】R614 【文献标识码】A 【文章编号】2095-1752（2014）08-0210-02 　　Analysis of the application effect and safety between Infant anesthesia laryngeal mask anesthesia and Tracheal intubation 　　LIU Xiao-fen，HU Xian-wen，ZHANG Ye. Department of Anesthesiology,The Second Affiliated Hospital of Anhui Medical University Anhui province 230601 　　【Abstract】Objective To explore the application of laryngeal mask anesthesia in infant anesthesia effect of anesthesia and tracheal intubation and safety. Methods Selected 31 infant patients who were treated by operation in our hospital , according to digital method， randomly them into observation group and control group, 15 cases in each group. The observation group were given the laryngeal mask anesthesia, the control group were given the tracheal intubation anesthesia, then took a comparative analysis to relevant indicators. Results Compared the T1, T2, T3 time of the MAP and HR between observation group and the control group, the difference was not statistically significant (Pgt;0.05); but in observation group at T4, T5 time, MAP and HR were significantly lower than that in the control group, with significant difference (Plt;0.05). The extubation times and wake times in observation group were significantly lower than that in the control group, with significant difference (Plt;0.05). The observation group with catheter after PETCO2 was significant