国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2015年
6期
810-812
,共3页
喉罩%骶管麻醉%小儿尿道下裂成形术%满意度
喉罩%骶管痳醉%小兒尿道下裂成形術%滿意度
후조%저관마취%소인뇨도하렬성형술%만의도
Laryngeal mask%Sacral block%Children urethroplasty of hypospadias%Degree of satisfaction
目的 探讨父母陪护下喉罩吸入七氟醚联合骶麻的方式在小儿尿道下裂成形术中的应用.方法 将患几分为A、B组各40例,A组采用父母陪护下喉罩吸入七氟醚联合骶麻,B组则采用氯胺酮麻醉联合骶麻,统计两组患儿术中平均动脉压(MAP)、心率(HR)、脉搏血氧饱和度、苏醒时间、出室时间、术中体动反应、呛咳屏气、术后躁动、恶心与呕吐,患儿家属和医护人员的满意度.结果 A组各个时间点的MAP和HR比B组平稳(P＜0.05).A组的苏醒时间、出室时间明显比B组短[(11.5±2.3) min vs.(17.6±6.4) min,(17.9-± 1.9) min vs.(33.1±3.2)min](t=4.236,6.339;P＜0.05).A组术中体动反应和呛咳屏气的发生率也明显比B组低(5.0％vs.30.0％,2.5％ vs.27.5％)(x2=15.632,22.354;P＜0.05).A组患儿家属满意度比B组高(100.0％vs.85.0％; x2=3.014,P＜0.05).结论 父母陪护下喉罩吸入七氟醚联合骶麻的方式可以使血流动力学指标更加平稳,苏醒时间和出室时间更短,麻醉不良反应更少,患儿家属满意度更高.
目的 探討父母陪護下喉罩吸入七氟醚聯閤骶痳的方式在小兒尿道下裂成形術中的應用.方法 將患幾分為A、B組各40例,A組採用父母陪護下喉罩吸入七氟醚聯閤骶痳,B組則採用氯胺酮痳醉聯閤骶痳,統計兩組患兒術中平均動脈壓(MAP)、心率(HR)、脈搏血氧飽和度、囌醒時間、齣室時間、術中體動反應、嗆咳屏氣、術後躁動、噁心與嘔吐,患兒傢屬和醫護人員的滿意度.結果 A組各箇時間點的MAP和HR比B組平穩(P＜0.05).A組的囌醒時間、齣室時間明顯比B組短[(11.5±2.3) min vs.(17.6±6.4) min,(17.9-± 1.9) min vs.(33.1±3.2)min](t=4.236,6.339;P＜0.05).A組術中體動反應和嗆咳屏氣的髮生率也明顯比B組低(5.0％vs.30.0％,2.5％ vs.27.5％)(x2=15.632,22.354;P＜0.05).A組患兒傢屬滿意度比B組高(100.0％vs.85.0％; x2=3.014,P＜0.05).結論 父母陪護下喉罩吸入七氟醚聯閤骶痳的方式可以使血流動力學指標更加平穩,囌醒時間和齣室時間更短,痳醉不良反應更少,患兒傢屬滿意度更高.
목적 탐토부모배호하후조흡입칠불미연합저마적방식재소인뇨도하렬성형술중적응용.방법 장환궤분위A、B조각40례,A조채용부모배호하후조흡입칠불미연합저마,B조칙채용록알동마취연합저마,통계량조환인술중평균동맥압(MAP)、심솔(HR)、맥박혈양포화도、소성시간、출실시간、술중체동반응、창해병기、술후조동、악심여구토,환인가속화의호인원적만의도.결과 A조각개시간점적MAP화HR비B조평은(P＜0.05).A조적소성시간、출실시간명현비B조단[(11.5±2.3) min vs.(17.6±6.4) min,(17.9-± 1.9) min vs.(33.1±3.2)min](t=4.236,6.339;P＜0.05).A조술중체동반응화창해병기적발생솔야명현비B조저(5.0％vs.30.0％,2.5％ vs.27.5％)(x2=15.632,22.354;P＜0.05).A조환인가속만의도비B조고(100.0％vs.85.0％; x2=3.014,P＜0.05).결론 부모배호하후조흡입칠불미연합저마적방식가이사혈류동역학지표경가평은,소성시간화출실시간경단,마취불량반응경소,환인가속만의도경고.
Objective To investigate the application of laryngeal mask inhalation sevoflurane anesthesia combined with sacral block accompanied by parents in children urethroplasty of hypospadias.Methods Children were divided into group A and group B,40 cases in each group.Group A was treated with laryngeal mask inhalation sevoflurane anesthesia combined with sacral block accompanied by parents,while group B was treated with ketamine anesthesia combined with sacral block.The mean arterial pressure (MAP),heart rate (HR),pulse oxygen saturation,the time of palinesthesia,the time out of operating room,body movement during surgery,bucking and breath holding,postoperative agitation,nausea and vomiting,and the degree of satisfaction of family member and medical personnel of two groups were recorded.Results Compared with group B,MAP and HR in group A were stabler (P＜0.05).The time of palinesthesia and time out of operating room in group A were shorter than those in group B [(11.5 ± 2.3)min vs.(17.6 ± 6.4)min,(17.9±1.9)min vs.(33.1 ± 3.2)min] (t=4.236,6.339; P＜0.05).The incidences of body movement during surgery and bucking and breath holding in group A were much lower than those in group B (5.0％ vs.30.0％,2.5％ vs.27.5％) (x 2=15.632,22.354; P＜0.05).The degree of satisfaction of family member in group A was higher than that in group B (100.0％ vs.85.0％; x 2=3.014,P＜0.05).Conclusion Laryngeal mask inhalation sevoflurane anesthesia combined with sacral block accompanied by parents can lead to stabler hemodynamics indexes,shorter time of palinesthesia and time out of operating room,fewer adverse reactions of anesthesia,higher degree of satisfaction of family member.
