论文部分内容阅读
目的:观察不同全身麻醉方法在预防小儿全麻并发症喉痉挛中的作用,降低其喉痉挛的发生率。方法:选择1～3岁小儿择期下腹部及四肢短小手术全身麻醉180例,随机分为观察组即气管插管全麻组(A组)和对照组即非气管插管全麻组(B组),每组各90例。A、B2组均静注0.2mg/kg咪达唑仑入室,A组行全麻气管插管机控通气、B组以氯胺酮复合全麻不行气管插管保留自主呼吸,观察并记录2组手术麻醉过程中喉痉挛的发生情况。结果:A组麻醉过程中出现4例喉痉挛,其中2例轻度、2例中度与B组发生喉痉挛6例,其中2例轻度、2例中度、2例重度比,其喉痉挛发生率和重度喉痉挛发生率明显低,差异有显著性(P<0.05)。结论:气管插管全麻组(A组)能有效地降低小儿手术麻醉过程中的喉痉挛的发生率,提高小儿全麻醉的安全性。
Objective: To observe the effect of different general anesthesia in preventing laryngospasm in general anesthesia pediatric complications and reduce the incidence of laryngospasm. Methods: One to three-year-old children undergoing selective lower abdominal and limb short-operative general anesthesia 180 cases were randomly divided into observation group that tracheal intubation general anesthesia group (A group) and control group that is not tracheal intubation general anesthesia group (B group ), Each group of 90 cases. Group A and group B2 were intravenously injected with midazolam at 0.2 mg / kg, group A received general anesthesia with general anesthesia, and group B received spontaneous breathing by intubation with ketamine combined with general anesthesia. Group 2 was observed and recorded Throat spasm during anesthesia. Results: Four cases of laryngospasm occurred during the anesthesia in group A, including 2 mild cases, 2 moderate cases and 6 cases of laryngospasm in group B. There were 2 mild cases, 2 moderate cases and 2 severe cases with throat spasm. The incidence of spasm and severe laryngospasm were significantly lower (P <0.05). Conclusion: Tracheal intubation general anesthesia group (group A) can effectively reduce the incidence of laryngospasm during pediatric anesthesia and improve the safety of general anesthesia in children.