CAJ | 학술논문

目的：探讨婴儿麻醉中气管插管麻醉与喉罩麻醉的疗效。方法随机选取70例该院2011年5月-2013年9月收治的需要手术的患儿，将其平分为对照组与研究组，两组分别给予气管插管麻醉以及喉罩麻醉，观察两组麻醉效果。结果对照组中插管后至拔管后较入室时的MAP（平均动脉压）明显降低，HR（血液流变学）减慢（P<0.05），同时对照组手术结束时和拔管后较插管时的HR明显增快，MAP明显上升（P<0.05），与对照组比较，研究组在手术结束时和拔管后的MAP降低，HR减慢；此外，研究组拔管时间及清醒时间显著低于对照组，并发症率低于对照组，P<0.05，差异有统计学意义。结论喉罩麻醉具有操作简便、损伤小、对心血管的影响小等优点，相比气管插管麻醉更适用于幼儿患者，值得推广。
목적：탐토영인마취중기관삽관마취여후조마취적료효。방법수궤선취70례해원2011년5월-2013년9월수치적수요수술적환인，장기평분위대조조여연구조，량조분별급여기관삽관마취이급후조마취，관찰량조마취효과。결과대조조중삽관후지발관후교입실시적MAP（평균동맥압）명현강저，HR（혈액류변학）감만（P<0.05），동시대조조수술결속시화발관후교삽관시적HR명현증쾌，MAP명현상승（P<0.05），여대조조비교，연구조재수술결속시화발관후적MAP강저，HR감만；차외，연구조발관시간급청성시간현저저우대조조，병발증솔저우대조조，P<0.05，차이유통계학의의。결론후조마취구유조작간편、손상소、대심혈관적영향소등우점，상비기관삽관마취경괄용우유인환자，치득추엄。
Objective To explore the effects of laryngeal mask anesthesia and endotracheal intubation anesthesia in infant anes-thesia. Methods 70 infants who received treatment in our hospital from May 2011 to September 2013 were divided equally into the control group and the research group. The two groups were respectively given endotracheal intubation anesthesia and laryngeal mask anesthesia. The anesthetic effects of the two groups were observed. Results MAP(Mean Arterial Pressure) and HR (Hemorhe-ology) of the control group from intubation to extubation both decreased significantly (P<0.05), and MAP and HR of the control group after surgery and extubation increased significantly (P<0.05). Compared with the control group, MAP and HR of the research group after surgery and extubation decreased significantly; In addition, the extubation time, awake time and complication rate of the research group were significantly lower than those of the control group, and the difference was statistically significant (P<0.05). Conclusion Laryngeal mask anesthesia has advantages such as simple operation, little injury and little impact on angiocarpy, so it is more applicable among infants compared with endotracheal intubation anesthesia and is worth promotion.