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目的:探讨小儿术后深麻醉及浅麻醉下气管导管拔除的临床效果。方法:选取本院在2015年3月-2016年6月期间收治的80例接受手术治疗小儿患者,随机分成两组,每组各40例。对照组患者在深麻醉条件下拔除气管导管,治疗组患者在浅麻醉条件下拔除气管导管,比较不同拔管方式对患者影响。结果:对照组患者在拔管后10min、20min各项指标已经恢复至拔管前,治疗组患者在拔管时、拔管后5min与10min各项指标明显高于拔管前,对照组患者拔管时与拔管后10min各项指标明显低于治疗组(P<0.05)。对照组患者并发症发生率明显高于治疗组(P<0.05)。结论:在深麻醉条件下进行拔管处理对患者心率及血压指标影响小,并发症发生率低,更加安全有效。
Objective: To investigate the clinical effect of pediatric endotracheal intubation after deep anesthesia and light anesthesia. Methods: Eighty patients undergoing surgery in our hospital from March 2015 to June 2016 were selected and randomly divided into two groups, 40 in each. Patients in the control group underwent extubation of the tracheal tube under deep anesthesia. Patients in the treatment group were instructed to remove the tracheal tube under light anesthesia, and the effects of different extubation methods on the patients were compared. Results: Before and after extubation, the indexes of the control group recovered to extubation 10min and 20min after extubation. The indexes in extubation, extubation 5min and 10min in the treatment group were significantly higher than those in the control group The indexes of 10min after intubation and extubation were significantly lower than those of the treatment group (P <0.05). The incidence of complications in the control group was significantly higher than that in the treatment group (P <0.05). Conclusion: The extubation treatment under deep anesthesia has little effect on heart rate and blood pressure index, and the complication rate is low and safer and more effective.