CAJ | 학술논문

目的：研究无肌松全麻联合喉罩置入对小儿眼科手术围术期应激反应的影响。方法选择全身麻醉下小儿眼科手术患者90例,随机分为A、B两组,每组各45例。 A组使用肌松药插入气管导管,B组采用无肌松药全麻并置入喉罩。对比手术中各时间点的平均动脉压(MAP)、心率(P)、心率收缩压乘积(RPP)、血氧饱和度(SpO2)。观察两组拔管期呛咳、躁动等拔管反应,并记录拔管(喉罩)时间、麻醉药总量。结果A组麻醉诱导及拔管期血流动力学波动高于B组；A组严重呛咳、躁动例数高于B组；A组拔管时间长于B组；A组麻醉药物总量多于B组。结论喉罩联合无肌松全麻应用于小儿眼科手术安全可靠,相较气管插管围术期应激反应更低。
목적：연구무기송전마연합후조치입대소인안과수술위술기응격반응적영향。방법선택전신마취하소인안과수술환자90례,수궤분위A、B량조,매조각45례。 A조사용기송약삽입기관도관,B조채용무기송약전마병치입후조。대비수술중각시간점적평균동맥압(MAP)、심솔(P)、심솔수축압승적(RPP)、혈양포화도(SpO2)。관찰량조발관기창해、조동등발관반응,병기록발관(후조)시간、마취약총량。결과A조마취유도급발관기혈류동역학파동고우B조；A조엄중창해、조동례수고우B조；A조발관시간장우B조；A조마취약물총량다우B조。결론후조연합무기송전마응용우소인안과수술안전가고,상교기관삽관위술기응격반응경저。
Objective To study without muscle relaxants combined general effect of laryngeal mask insertion on the pe-diatric department of ophthalmology operation perioperative stress responses. Methods Ninety patients with pediatric eye surgery were randomly divided into group A and group B, 45 cases in each group. Group A treated with muscle re-laxants insert the tracheal tube, group B treated with without anesthesia and muscle relaxants into the LMA. Contrast surgery mean arterial pressure at each time point (MAP), heart rate (P), rate pressure product (RPP), oxygen saturation (SpO2). Extubation were observed choking, restlessness, etc. extubation reaction, record extubation (LMA) time, total quantity of using drug. Results A induction of anesthesia and extubation hemodynamic fluctuations was higher than that of group B; Severe cough, agitation of group A were higher than that in B group; The extubation time was longer than that of group B; Drug amount was higher than that of group B. Conclusion LMA Joint no muscle relaxant used in pe-diatric anesthesia eye surgery is safe and reliable, with lower stress response.