双管喉罩用于小儿外科短小手术的效果观察(修改稿).doc

双管型喉罩用于小儿短小手术的效果观察 何卓文 田丰 张坤全 冯秀芬 摘要 目的 在小儿短小手术中使用双管型喉罩的优越性。方法 把本院拟行短小手术的60例患儿随机分为双管喉罩组（A组）和气管插管组（B组），并采用相同的方法诱导,分别记录同时间点两组患儿诱导前后、置入喉罩/导管后1min、3 min、5min，拔除喉罩/导管前及后5 min的均动脉压（MAP）、心率（HR）、血氧饱和度（SP02）、手术耗时、苏醒耗时、一次性置管的成功率及苏醒时和术后的麻醉并发症，并进行统计学分析。结果 两组患儿的一般情况、诱导前后的MAP、HR、 SP02、手术耗时以及一次性插管成功率比较均无统计学差异（P＞0.05）；置管后及术后拔管时的B组的MAP和HR明显低于A组（P＜0.05或P＜0.01）；A组苏醒期躁动、屏气和术后咽喉不适明显少于B组（P＜0.05）。结论 喉罩置入易，创伤少，若能掌握好其适应证和加强术中通气监测，那无疑是小儿短小手术的理想选择。 关键词 双管喉罩 小儿 短小手术 麻醉 Curative effect observation of fast-track surgery in infants using double-tube laryngeal mask He Zhuowen, Tian Feng, Zhang Kunquan, Feng Xiufen(Department of Anesthesiology,Zhaoqing Fist People’s Hospital Zhaoqing 526020,China) Abstract Objective: The superiority of double-tube laryngeal mask in fast-track surgery in infants should be verified. Method: 60 infants to be subject to fast-track surgery in our hospital were randomly divided into double-tube laryngeal mask group (group A) and trachea cannula group (group B). At the same time points, mean arterial pressure (MAP), heart rate (HR), oxyhemoglobin saturation (SP02), operation time, awakening time, success rate of one-off cannula placement and the agitation after awakening were recorded in both groups before and after induction of anesthesia, 1min, 3min and 5min after the placement of laryngeal mask/trachea cannula, and 5min before and after the removal of laryngeal mask/trachea cannula were recorded. The statistical analysis was performed on these indexes. Results no statistical difference was observed between the two groups in general conditions, MAP, HR and SP02 before and after induction of anesthesia, operation time and success rate of one-off cannula placement (P＞0.05). MAP and HR in group B after canuula placement and cannula removal were significantly lower than that in group A (P＜0.05 or P0.0). Result: the placement of laryngeal mask is easy and non-invasive. Double-tube laryngeal mask will be an ideal choice for anesthesia in fast-track surgery