评价可弯曲喉罩通气下七氟烷麻醉用于小儿斜视矫治术的效果.docVIP

精品论文 参考文献 评价可弯曲喉罩通气下七氟烷麻醉用于小儿斜视矫治术的效果 肖剑冰 　　（湖南省永州市第三人民医院麻醉科 湖南 永州 425000） 　　【摘要】 目的：探讨可弯曲喉罩通气下七氟烷麻醉用于小儿斜视矫治术的效果。方法：选取我院收治的小儿斜视矫治术患者64例，按照麻醉方法分成观察组和对照组各32例，观察组采用可弯曲喉罩通气下七氟烷麻醉，对照组采用气管导管静吸复合麻醉，观察两组苏醒时间、拔管时间和躁动评分。结果：观察组苏醒时间和拔管时间明显少于对照组（P＜0.05），0～1分躁动评分者明显多于对照组（P＜0.05）。结论：可弯曲喉罩通气下七氟烷麻醉可用于小儿斜视矫治术。 　　【关键词】 可弯曲喉罩；七氟烷；麻醉；小儿斜视矫治术；效果 　　【中图分类号】R614.1 【文献标识码】A 【文章编号】2095-1752（2016）08-0015-02 　　To evaluate the effect of seven sevoflurane anesthesia for pediatric strabismus surgery under the condition of flexible laryngeal mask airway Xiao Jianbing. The Third Peoples Hospital of Yongzhou City, Hursquo;nan Province, Yongzhou 425000, China 　　【Abstract】Objective To investigate the effect of seven sevoflurane anesthesia for pediatric strabismus surgery under the condition of the flexible laryngeal mask airway. Methods 64 cases of pediatric strabismus correction surgery patients were selected, according to the anesthesia method was divided into observation group and control group, 32 cases in each group, the observation group was treated with seven sevoflurane anesthesia, the control group was treated with tracheal intubation anesthesia, the recovery time, extubation time and restlessness score were observed in the two groups. Results The recovery time and extubation time of the observation group were significantly less than those in the control group (Plt;0.05), the 0~1 score was significantly more than that in the control group (Plt;0.05). Conclusion Seven of the patients with laryngeal mask airway can be used for the treatment of strabismus in children. 　　【Key words】 Can be curved laryngeal mask; Seven of the patients; Anesthesia; Pediatric strabismus treatment; Effect 　　小儿斜视矫治术是儿科常见的手术，手术部位靠近气道，而且手术时间较短，因而需要苏醒快、恢复快、起效快的麻醉药物，而且要迅速建立有效的气道管路。可弯曲喉罩可塑性强，能够任意弯曲，操作方便[1]。七氟醚气味芬芳，诱导和苏醒较快。本文选取我院收治的64例小儿斜视矫治术患者进行分析，结果如下。 　　1.资料与方法 　　1.1 一般资料 　　资料来源于2014年6月至2015年5月在我院进行小儿斜视矫治术的患者64例，ASA分级Ⅰ～Ⅱ级，排除严重心肝肾疾病患者，其中男性40例，女性24例，年龄在2～6岁，平均年龄为（4.02plusmn;0.88）岁，体