中国药业
中國藥業
중국약업
CHINA PHARMACEUTICALS
2014年
19期
87-88,89
,共3页
阿曲库铵%复合麻醉%高频喷射通气%婴幼儿%支气管异物取出术
阿麯庫銨%複閤痳醉%高頻噴射通氣%嬰幼兒%支氣管異物取齣術
아곡고안%복합마취%고빈분사통기%영유인%지기관이물취출술
atracurium%combined anesthesia%high frequency jet ventilation%infant%removal of bronchial foreign bodies
目的：探讨复合麻醉下使用阿曲库铵辅助高频喷射通气在婴幼儿支气管异物取出术中的应用及安全性。方法选择医院2010年1月至2014年3月收治的拟行支气管异物取出术的婴幼儿60例，随机分为对照组24例和观察组36例。对照组行全身麻醉，手术过程保留自主呼吸；观察组复合麻醉下使用阿曲库铵辅助高频喷射通气。结果与对照组比较，观察组手术时间更短，硬质气管镜置管成功率更高（ P＜0.05）；手术过程中，观察组患儿通气效果优于对照组，异常情况也更少（ P＜0.05）；手术后，观察组患儿苏醒时间明显短于对照组，麻醉恢复期不良情况发生率也更低（ P＜0.05）。结论复合麻醉下使用阿曲库铵辅助高频喷射通气应用于婴幼儿支气管异物取出术，能缩短手术时间，提高手术成功率，保持术中血氧饱和度稳定，减少麻醉恢复期并发症，值得临床推广。
目的：探討複閤痳醉下使用阿麯庫銨輔助高頻噴射通氣在嬰幼兒支氣管異物取齣術中的應用及安全性。方法選擇醫院2010年1月至2014年3月收治的擬行支氣管異物取齣術的嬰幼兒60例，隨機分為對照組24例和觀察組36例。對照組行全身痳醉，手術過程保留自主呼吸；觀察組複閤痳醉下使用阿麯庫銨輔助高頻噴射通氣。結果與對照組比較，觀察組手術時間更短，硬質氣管鏡置管成功率更高（ P＜0.05）；手術過程中，觀察組患兒通氣效果優于對照組，異常情況也更少（ P＜0.05）；手術後，觀察組患兒囌醒時間明顯短于對照組，痳醉恢複期不良情況髮生率也更低（ P＜0.05）。結論複閤痳醉下使用阿麯庫銨輔助高頻噴射通氣應用于嬰幼兒支氣管異物取齣術，能縮短手術時間，提高手術成功率，保持術中血氧飽和度穩定，減少痳醉恢複期併髮癥，值得臨床推廣。
목적：탐토복합마취하사용아곡고안보조고빈분사통기재영유인지기관이물취출술중적응용급안전성。방법선택의원2010년1월지2014년3월수치적의행지기관이물취출술적영유인60례，수궤분위대조조24례화관찰조36례。대조조행전신마취，수술과정보류자주호흡；관찰조복합마취하사용아곡고안보조고빈분사통기。결과여대조조비교，관찰조수술시간경단，경질기관경치관성공솔경고（ P＜0.05）；수술과정중，관찰조환인통기효과우우대조조，이상정황야경소（ P＜0.05）；수술후，관찰조환인소성시간명현단우대조조，마취회복기불량정황발생솔야경저（ P＜0.05）。결론복합마취하사용아곡고안보조고빈분사통기응용우영유인지기관이물취출술，능축단수술시간，제고수술성공솔，보지술중혈양포화도은정，감소마취회복기병발증，치득림상추엄。
Objective To discuss the application and safety of atracurium assisted high frequency jet ventilation under combined anesthe-sia in removal of bronchial foreign bodies in infants. Methods 60 infant cases undergoing the removal of bronchial foreign bodies in our hospital from January 2010 to March 2013 were chosen and randomly divided into the control group ( 24 cases ) and the observa-tion group ( 36 cases ) . The control group was performed the general anesthesia and maintained the autonomous respiration during the op-eration process, while the observation group used atracurium assisted high frequency jet ventilation under combined anesthesia. Results Compared with the control group, the operation time was shorter and the success rate in the observation group was higher ( P<0. 05 );the ventilation effect during operation process in the observation group was superior to that in the control group, moreover the abnormal condition was also much less ( P<0. 05 );the awaken time after operation in the observation group was significantly shorter than that in the control group ( P<0. 05 ) , the occurrence rate of adverse reactions in the observation group was lower than that in the control group. Conclusion Atracurium assisted high frequency jet ventilation under combined anesthesia used in the removal of bronchial foreign bod-ies in infants can shorten the operation time, increase the operative successful rate, maintain the intraoperative SPO2 stability and reduce the complications during the anesthetic recovery period and is worthy of being clinically promoted.
