婴儿麻醉应用喉罩麻醉术和气管插管麻醉的价值探究.docVIP

精品论文 参考文献 婴儿麻醉应用喉罩麻醉术和气管插管麻醉的价值探究 湖南省岳阳市二医院 414000 【摘 要】目的：研究婴儿麻醉应用喉罩麻醉术和气管插管麻醉的价值。方法：此次研究纳入的对象来源于2014年4月-2015年7月我院收治行麻醉的婴儿中随机抽取的83例。将上述83例行麻醉的婴儿随机分为气管插管组41例和喉罩组42例。气管插管组采取气管插管麻醉，喉罩组应用喉罩麻醉术。比较（1）麻醉总有效率；（2）起效时间、拔管时间、清醒时间；（3）导管置入前和导管置入后患儿呼气末气道峰压、二氧化碳分压的差异。结果：（1）喉罩组较之气管插管组麻醉总有效率更高，P＜0.05；（2）喉罩组较之气管插管组起效时间、拔管时间、清醒时间更短，P＜0.05；（3）喉罩组导管置入前和导管置入后呼气末气道峰压均明显低于气管插管组，而二氧化碳分压均高于气管插管组，P＜0.05。结论：婴儿麻醉应用喉罩麻醉术和气管插管麻醉均有一定效果，但相对来说，应用喉罩麻醉术的效果更好，起效更快，清醒时间更短，对气道损伤小，安全性高，值得推广。 【关键词】婴儿麻醉；喉罩麻醉术；气管插管麻醉；价值 [Abstract] Objective：To study the value of laryngeal mask anesthesia and tracheal intubation anesthesia in infant anesthesia.Methods：the study included 83 patients who were randomly selected from our hospital from April 2014 -2015 to July.The infants were randomly divided into 41 groups：83 cases of tracheal intubation group and 42 cases of laryngeal mask group.Tracheal intubation group to take tracheal intubation anesthesia，laryngeal mask group application of laryngeal mask anesthesia.Comparison（1）the total effective rate of anesthesia；（2）the onset time，extubation time，waking time；（3）the difference of peak inspiratory pressure and carbon dioxide partial pressure between the end of the catheter before and after the catheter insertion.Results：（1）the laryngeal mask group compared with endotracheal intubation anesthesia group total efficiency is high，P lt; 0.05）.（2 laryngeal mask group compared with tracheal intubation group onset time and pull tube time，shorter recovery time，P lt; 0.05；（3）the laryngeal mask group catheter before and catheter placement end expiratory airway peak pressure were significantly lower than those of the tracheal intubation group，and partial pressure of carbon dioxide were higher than that of the tracheal intubation group，P lt; 0.05）.Conclusion：infant anesthesia with laryngeal mask anesthesia and tracheal intubation anesthesia has certain effect，but relatively speaking，application of laryngeal cover is the better operation anesthesia，faster onset of action，shorter re