CAJ | 학술논문

目的在小儿短小手术中使用双管型喉罩的优越性.方法把本院拟行短小手术的60例患儿随机分为双管喉罩组(A组)和气管插管组(B组),并采用相同的方法诱导,分别记录同时间点两组患儿诱导前后、置入喉罩/导管后1 min、3min、5min,拔除喉罩/导管前及后5min的均动脉压(MAP)、心率(HR)、血氧饱和度(SPO2)、手术耗时、苏醒耗时、一次性置管的成功率及苏醒时和术后的麻醉并发症,并进行统计学分析.结果两组患儿的一般情况、诱导前后的MAP、HR、SPO2、手术耗时以及一次性插管成功率比较均无统计学差异(P＞0.05)；置管后及术后拔管时B组的MAP和HR明显低于A组(P＜0.05或P＜ 0.01);A组苏醒期躁动、屏气和术后咽喉不适明显少于B组(P＜0.05).结论喉罩置入易,创伤少,若能掌握好其适应证和加强术中通气监测,那无疑是小儿短小手术的理想选择.
목적 재소인단소수술중사용쌍관형후조적우월성.방법 파본원의행단소수술적60례환인수궤분위쌍관후조조(A조)화기관삽관조(B조),병채용상동적방법유도,분별기록동시간점량조환인유도전후、치입후조/도관후1 min、3min、5min,발제후조/도관전급후5min적균동맥압(MAP)、심솔(HR)、혈양포화도(SPO2)、수술모시、소성모시、일차성치관적성공솔급소성시화술후적마취병발증,병진행통계학분석.결과 량조환인적일반정황、유도전후적MAP、HR、SPO2、수술모시이급일차성삽관성공솔비교균무통계학차이(P＞0.05)；치관후급술후발관시B조적MAP화HR명현저우A조(P＜0.05혹P＜ 0.01);A조소성기조동、병기화술후인후불괄명현소우B조(P＜0.05).결론 후조치입역,창상소,약능장악호기괄응증화가강술중통기감측,나무의시소인단소수술적이상선택.
Objective To explore the value of double-tube laryngeal mask in fast-track surgery in pediatric patients.Methods 60 pediatric patients scheduled for fast-track surgery were randomly divided into group of double-tube laryngeal mask (group A) and group of tracheal intubation (group B).At the same time points,mean arterial pressure (MAP),heart rate (HR),oxyhemoglobin saturation (SpO2),surgical duaration,awakening time,success rate of one-off tube placement and agitation after awakening were recorded in both groups before and after induction of anesthesia,1,3,and 5 min after placement of laryngeal mask or tracheal tube,and 5 min before and after removal of laryngeal mask or tracheal tube were recorded.A statistical analysis was conducted.Results No statistical difference was observed between the two groups in general conditions,MAP,HR and SpO2before and after induction of anesthesia,surgical duration,and success rate of one-off tube placement (P＞0.05).MAP and HR were significantly lower in group B than in group A after placement or removal of tube (P ＜ 0.05 or P ＜ 0.01).Conclusions Double-tube laryngeal mask is easy to apply and less invasive.It can be an ideal choice for anesthesia in fast-track surgery in pediatric patients if intraoperative ventilation monitoring is strengthened.