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目的探讨在氯胺酮静脉全麻下进行手术的233例患儿,术后不同体位对患儿呼吸的影响。方法将233例患儿随机分成实验组和对照组,实验组采取去枕平卧,肩下垫一10cm高的软枕体位,对照组去枕平卧位。多功能心电监护仪连续监测呼吸、心率、SpO2等指标,进行呼吸道畅通情况评估。结果实验组无呼吸道阻塞症状,对照组有呼吸道阻塞症状7例,SpO2下降8例,差异有统计学意义。结论去枕平卧肩下垫一10cm高的软枕体位可有效减低全麻术后婴幼儿呼吸道阻塞症状。
Objective To investigate the effects of ketamine intravenous anesthesia on 233 children undergoing general anesthesia with different postures. Methods A total of 233 children were randomly divided into experimental group and control group. In the experimental group, a soft pillow position 10cm high was used for supine pillow and shoulder. The control group was placed in the supine position. Multi-function ECG monitor continuous monitoring of respiration, heart rate, SpO2 and other indicators, to assess the condition of the respiratory tract. Results The experimental group had no symptoms of airway obstruction. In the control group, there were 7 cases of obstructive airway obstruction and 8 cases of SpO2. The difference was statistically significant. Conclusion The 10cm height of soft pillow under the pillow can reduce the obstruction of airway in infants and young children after general anesthesia.