标题：喉罩麻醉在婴儿麻醉中的应用效果和安全性分析

      作者：贺永峰，王晓娟
    （渭南市妇幼保健院，陕西 渭南 714000）

      卷次： 2012年23卷19期

      【摘要】 目的 探讨喉罩麻醉在婴儿外科手术中的麻醉效果与安全性。方法 将2010年1月至2011年12
月在本院行外科手术的76例患儿随机分成两组：实验组38例；对照组38例。实验组采用喉罩+七氟醚吸入麻醉；
对照组采用气管插管+静吸复合麻醉。观察比较两组患儿所需的手术时间、苏醒时间、拔管时间，拔管后并发症
的发生情况，平均动脉压(MAP)、心率(HR)、血氧饱和度(SpO2)的变化情况。结果 两组患者手术时间差异无统
计学意义(P >0.05)；实验组患儿所需的苏醒时间、拔管时间均显著性短于对照组(P<0.05)；拔管呛咳、喉头水肿、
吞咽困难、术后躁动等并发症的发生率均显著性小于对照组(P<0.05)；两组患儿各时间点SpO2指标值差异均无统
计学意义(P>0.05)；实验组患儿在喉罩置入或插管即刻(T1)、喉罩移开或拔管即刻(T3) MAP、HR指标值均比对照
组稳定(P<0.05)。结论 喉罩麻醉应用于婴儿外科手术效果良好。

      【关键词】 婴儿；喉罩麻醉；外科手术

      【中图分类号】 R726.1 【文献标识码】 A 【文章编号】 1003—6350(2012)19—041—02<

br>Clinical effect and safety analysis of laryngeal mask anesthesia for children's surgeries.
HE Yong-feng, WANG
Xiao-juan. Maternal and Child Health Hospital of Weinan City, Weinan 714000, Shaanxi, CHINA

【Abstract】 Objective To investigate the clinical value and safety of laryngeal mask anesthesia for children's
surgeries. Methods Seventy-six patients admitted to our hospital from January 2010 to December 2011 were ran-
domly divided into two groups, treatment group (n=38) and control group (n=38). The control group was given trache-
al intubation anesthesia with isoflurane combined anesthesia; but the treatment group was given laryngeal mask anes-
thesia with sevoflurane inhalation anesthesia. The total operation time, the awakening time, the extubation time, the in-
cidence of complications after extubation, mean arterial blood pressure (MAP), heart rate (HR), and oxygen saturation
(SpO2) in the two groups was observed and compared. Results The total of operation time in the treatment group
was similar as that in the control group. The awakening time, and extubation time in the treatment group were signifi-
cantly lower than those in the control group (P<0.05). The incidence of extubation cough, laryngeal edema, dysphagia,
restlessness in the treatment group were significantly lower than those in the control group (P<0.05). The SpO2 index
value in the treatment group was similar as that in the control group. The MAP, the HR index value of T1 and T3 in the
treatment group were significantly more steady than those in the control group (P<0.05). Conclusion There is a sig-
nificant clinical effect of laryngeal mask anesthesia for children's surgeries.

      【Key words】 Child; Laryngeal mask anesthesia; Surgery