喉罩静脉全麻与插管静脉全麻在小儿短小手术麻醉对比研究.docVIP

喉罩静脉全麻与插管静脉全麻在小儿短小手术麻醉对比研究 　　[摘要] 目的 ?Ρ群碚志猜鋈?麻与气管插管静脉全麻在小儿短小手术麻醉中的效果。 方法 选取我院在2016年1月～2017年4月收治的择期行全麻短小手术的患儿86例，按照随机数字表法分为喉罩组全麻与气管插管全麻组，各43例，喉罩组采用喉罩静脉麻醉方式，插管组采用气管插管静脉麻醉方式，比较两组患者麻醉诱导前（S1）、插管或喉罩置入时（S2）、拔除气管插管或喉罩即刻（S3）的平均动脉压（MAP）、心率（HR）、血氧饱和度（SpO2），观察两组患者麻醉效果及并发症情况。 结果 （1）S1时间点喉罩组MAP、HR、SPO2指标与插管组比较差异无统计学意义（P0.05），S2、S3时间点喉罩组MAP、HR指标明显优于插管组，差异具有统计学意义（P0.05）；（3）喉罩组并发症发生率为9.30%（4/43），插管组并发症发生率为27.91%（12/43），比较差异具有统计学意义（P0.05）。 结论 喉罩静脉全麻在小儿短小手术中麻醉效果可靠，对患儿血流动力学影响较小，安全性高，值得临床推广。 　　[关键词] 喉罩全麻；插管全麻；小儿手术；效果对比 　　[中图分类号] R614 [文献标识码] A [文章编号] 2095-0616（2017）16-103-04 　　Comparative study of laryngeal mask vein anesthesia and intubation intravenous anesthesia in children undergoing short operation anesthesia 　　XIE Guoqiang OU Yinqiang DENG Shuxian 　　Department of Anesthesiology， Sihui People’s Hospital， Guangdong， Sihui 526200， China 　　[Abstract] Objective To compare the effect of laryngeal mask vein anesthesia and intubation intravenous anesthesia in children undergoing short operation anesthesia. Methods 86 children undergoing minor general anesthesia in our hospital from January 2016 to April 2017 were selected and divided into laryngeal mask general anesthesia group and tracheal intubation general anesthesia group according to random digital table method with 43 cases in each. Patients in laryngeal mask general anesthesia group were treated with laryngeal mask vein anesthesia， and patients in tracheal intubation general anesthesia group were treated with tracheal intubation， intravenous anesthesia. Before induction of anesthesia （S1）， intubation or laryngeal mask insertion （S2） and tracheal intubation or laryngeal mask immediately （S3） mean arterial pressure （MAP）， heart rate （HR）， oxygen saturation （SpO2）， to observe the effect and complications of anesthesia in two groups of patients of the two groups were compared. Results （1） There were no statistically significant differences in MAP， HR and SPO2 between the S1 time point laryngeal mask group and the intubation gro