中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2013年
36期
355-355,356
,共2页
婴幼儿%唇腭裂手术%全麻
嬰幼兒%脣腭裂手術%全痳
영유인%진악렬수술%전마
Infancy children%Cleft lip and palate repairing operation%General anesthesia
目的:比较两种不同的全麻方法在婴幼儿唇腭裂手术中的应用。方法随机选择拟行唇腭裂修复患儿80例,常规经口气管插管,按双盲法分为插管后保持自主呼吸组S组(对照组),插管后呼吸机械控制组C组(观察组)。观察麻醉前(T1)、气管插官后(T2)、手术结束(T3)和拔管后(T4)的HR、Etco2、SpO2、BP的变化,记录术中及苏醒期的并发症,苏醒时间。结果观察组气管插官后(T2)手术结束(T3)、Etco2明显低于对照组;观察组的HR在T2、T3、T4明显低于对照组,观察组的苏醒时间长于对照组。结论婴幼儿唇腭裂手术插管后呼吸机械控制对患儿的安全性更高,但会延长患儿苏醒时间,增加医疗费用。
目的:比較兩種不同的全痳方法在嬰幼兒脣腭裂手術中的應用。方法隨機選擇擬行脣腭裂脩複患兒80例,常規經口氣管插管,按雙盲法分為插管後保持自主呼吸組S組(對照組),插管後呼吸機械控製組C組(觀察組)。觀察痳醉前(T1)、氣管插官後(T2)、手術結束(T3)和拔管後(T4)的HR、Etco2、SpO2、BP的變化,記錄術中及囌醒期的併髮癥,囌醒時間。結果觀察組氣管插官後(T2)手術結束(T3)、Etco2明顯低于對照組;觀察組的HR在T2、T3、T4明顯低于對照組,觀察組的囌醒時間長于對照組。結論嬰幼兒脣腭裂手術插管後呼吸機械控製對患兒的安全性更高,但會延長患兒囌醒時間,增加醫療費用。
목적:비교량충불동적전마방법재영유인진악렬수술중적응용。방법수궤선택의행진악렬수복환인80례,상규경구기관삽관,안쌍맹법분위삽관후보지자주호흡조S조(대조조),삽관후호흡궤계공제조C조(관찰조)。관찰마취전(T1)、기관삽관후(T2)、수술결속(T3)화발관후(T4)적HR、Etco2、SpO2、BP적변화,기록술중급소성기적병발증,소성시간。결과관찰조기관삽관후(T2)수술결속(T3)、Etco2명현저우대조조;관찰조적HR재T2、T3、T4명현저우대조조,관찰조적소성시간장우대조조。결론영유인진악렬수술삽관후호흡궤계공제대환인적안전성경고,단회연장환인소성시간,증가의료비용。
Objective To study the two difference anesthesia method on infancy children in cleft lip and palate repairing operation. Method 80 pediatric patients for cleft lip and palate repairing operation were divided into spontaneous respiration group (S group) and controlled respiration group (C group) after intubation randomly. HR, Etco2, SpO2, BP were monitored before anesthesia (T1), after intubation (T2), before operation finished (T3) and extubation (T4). Results Etco2 in group C were lower in group S at T2 and T3;HR in group S were higher in group C at T2、T3、T4, the time of analepsia in group C is longer then group S. Conclusion Controlled respiration is safer than spontaneous respiration in infancy children in cleft lip and palate repairing operation. But Controlled respiration will prolong the analepsia and cost more money.