小儿喉罩在基层医院普外短小手术中的应用.docVIP

小儿喉罩在基层医院普外短小手术中的应用 　　【摘要】 目的 探讨小儿喉罩在基层医院普外短小手术中的应用效果。方法 72例小儿普外科接受手术治疗的患儿， 随机分为研究组与对照组， 各36例。对照组予以静脉麻醉， 研究组予以喉罩麻醉， 比较两组患儿麻醉效果。结果 两组患儿麻醉前（T1）平均动脉压（MAP）、心率（HR）以及血氧饱和度（SpO2）水平比较差异无统计学意义（P0.05）；对照组患儿切皮时（T2）、切皮后30 min（T3）HR与MAP水平均高于本组T1时， 差异具有统计学意义（P0.05）；研究组患儿T2、T3的HR与MAP水平显著低于对照组， 差异具有统计学意义（P0.05）。研究组患儿各不良反应发生率低于对照组， 差异具有统计学意义（P0.05）；研究组患儿术后苏醒时间为（8.35±1.42）min， 短于对照组的（15.52±4.48）min， 差异具有统计学意义（P0.05）。结论 在基层医院小儿普外短小手术中应用喉罩麻醉具有显著效果， 操作简易， 安全性高， 值得在基层医院临床推广应用。 　　【关键词】 喉罩麻醉；基层医院；普外短小手术 　　DOI：10.14163/j.cnki.11-5547/r.2017.13.010 　　【Abstract】 Objective To investigate application effect by pediatric laryngeal mask in general minor surgery in primary hospital. Methods A total of 72 children patients receiving general minor surgery for treatment were randomly divided into research group and control group， with 36 cases in each group. The control group received intravenous anesthesia， and the research group received laryngeal mask anesthesia. Anesthetic effects were compared between the two groups. Results There was no statistically significant difference of mean arterial pressure （MAP）， hear rate （HR） and oxygen saturation （SpO2） before anesthesia （T1） between the two groups （P0.05）. The control group had higher HR and MAP levels during skin incision （T2） and in 30 min after skin incision （T3） than those at T1， and the difference had statistically significance （P0.05）. The research group had obviously lower HR and MAP levels at T2 and T3 than those in the control group， and the difference had statistical significance （P0.05）. The research group had lower incidence of adverse reactions than the control group， and the difference had statistical significance （P0.05）. The research group had shorter postoperative recovery time as （8.35±1.42） min than （15.52±4.48） min in the control group， and the difference had statistical significance （P0.05）. Conclusion Implement of laryngeal mask anesthesia in general minor surgery in primary hospital shows excellent effect， along with eas