CAJ | 학술논문

目的：探讨2种复合麻醉方法对小儿气管异物手术麻醉的效果。方法120例患儿随机分为咪达唑仑-芬太尼-氯胺酮组(M组,n=52),γ-羟基丁酸钠-氯胺酮组(γ-OH组,n=68)。观察麻醉前、置镜后和异物取出后的心率( HR)、血氧饱和度( SPO2)、术中呛咳、喉及支气管痉挛、异物取出后需气管插管次数及苏醒时间并记录数据。结果麻醉前、置镜后、异物取出后,两组的HR、SPO2差异无显著性(P>0.05)；呛咳、喉及支气管痉挛和气管插管次数M组高于γ-OH组(P<0.05)；苏醒时间M组小于γ-OH组(P<0.01)。结论咪达唑仑-芬太尼-氯胺酮复合麻醉术中呛咳、支气管痉挛、气管插管次数比γ-羟基丁酸钠复合麻醉组发生率高,但术后苏醒快,是气管镜下小儿气管异物取除术的一种可供选择的麻醉方法。
목적：탐토2충복합마취방법대소인기관이물수술마취적효과。방법120례환인수궤분위미체서륜-분태니-록알동조(M조,n=52),γ-간기정산납-록알동조(γ-OH조,n=68)。관찰마취전、치경후화이물취출후적심솔( HR)、혈양포화도( SPO2)、술중창해、후급지기관경련、이물취출후수기관삽관차수급소성시간병기록수거。결과마취전、치경후、이물취출후,량조적HR、SPO2차이무현저성(P>0.05)；창해、후급지기관경련화기관삽관차수M조고우γ-OH조(P<0.05)；소성시간M조소우γ-OH조(P<0.01)。결론미체서륜-분태니-록알동복합마취술중창해、지기관경련、기관삽관차수비γ-간기정산납복합마취조발생솔고,단술후소성쾌,시기관경하소인기관이물취제술적일충가공선택적마취방법。
Objective To compare the safety of different combined anesthesia methods for removal of foreign body in trachea in children, and investigate the efficiency of them. Method 120 children undergoing the removal of foreign body in trachea were divided into midazolam-fentanyl-ketamine group ( M group, n=52 ) and sodium γ-hydroxy-butrate-ketamine group (γ-OH group, n=68 ) . HR, SPO2 before anesthesia, after spectacle insertion and after spectacle dislodgement were observed;the frequencies of bucking, laryngospasm and bronchospasm, and intubation after the removal of foreign body and the time of palinesthesia were also recorded. Result There was no statistical significance on HR and SPO2 between the two groups (P>0. 05); the frequencies of bucking, laryngospasm and bronchospasm, and intubation after the removal of foreign body in M group was higher than those in γ-OH group (P<0. 05); the time of palinesthesia in M group was shorter than that inγ-OH group (P<0. 01). Conclusion The frequencies of bucking, laryngospasm and bronchospasm, and intubation after the removal of foreign body in M group was higher than those inγ-OH group, but palinesthesia more quickly, so the combined anesthesia of midazo-lam-fentanyl-ketamine is a considerable method for the removal of foreign body in trachea in children.