喉罩麻醉与气管插管麻醉对手术患儿的效果比较

钟宝军

（陕西省榆林市子洲县人民医院麻醉科，陕西 榆林，718499）

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摘要：

目的 探讨婴儿手术麻醉中应用喉罩麻醉与气管插管麻醉的效果。方法 回顾性分析于我院行手术治疗的30例患儿， 按照数字随机表法，分为A组和B组，各15例。A组患儿实施喉罩麻醉，B组患儿实施气管插管麻醉，对比两组患儿术前、术中及术后心律变化、清醒时间、拔管时间和喉痉挛发生率。结果两组患儿术前及术后心率比较，差异无统计学意义（P>0.05）；术 中A组患儿心率明显高于B组，差异有统计学意义（P<0.05）；A组患儿清醒时间与拔管时间明显短于B组，差异有统计学意义（P<0.05）；A组患儿喉痉挛发生率为6.67%，明显低于B组的40.00%，差异有统计学意义（P<0.05）。结论 在婴儿麻醉中应用喉罩麻醉与气管插管麻醉的麻醉效果均较好，但与气管插管麻醉相比，实施喉罩麻醉，可缩短拔管时间与清醒时间，降低并发症发生率，有助于维持血流动力学稳定，效果显著。

关键词：婴儿麻醉；气管插管麻醉；喉罩麻醉

中图分类号：R726.1文献标志码：A文章编号：2096-1413(2017)10-0068-02

Effect comparison of laryngeal mask anesthesia and tracheal intubation anesthesia on infant underwent surgery
ZHONG Bao-jun
(Anesthesiology Department, Zizhou County People's Hospital, Yulin 718499, China)

ABSTRACT: Objective To explore the effect of laryngeal mask anesthesi a and tracheal intubation anesthesia in infant anesthesia. Methods A retrospective analysis of 30 cases of children underwent surgical treatment in our hospital were divided into group A and group B according to digital random method, with 15 cases in each goup. The group A used laryngeal mask anesthesia, while the group B used tracheal intubation anesthesia. The preoperative, intraoperative and postoperative rhythm changes, awake time, extubation time and the incidence of laryngospasm in the two groups were compared. Results There was no significant difference in the preoperative and intraoperative arrhythmia between the two groups (P>0.05). The intraoperative arrhythmia in the group A were significantly higher than that in the group B (P<0.05). The awake time and extubation time in the group A were significantly lower than those in the group B (P<0.05). The incidence rate of laryngospasm in group A was 6.67%, which was significantly lower than 40.00% in the group B (P<0.05). Conclusion In the infant anesthesia, laryngeal mask anesthesia and tracheal intubation anesthesia both has good effect. Compared with tracheal intubation anesthesia, the implementation of laryngeal mask anesthesia can short the extubation time and awake time, reduce the incidence of complications and help maintain hemodynamic stability, the effect is significant.
KEYWORDS：infant anesthesia；tracheal intubation anesthesia；laryngeal mask anesthesia

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