3种麻醉方式在小儿食管异物取出术中的效果

Three Types of Anesthesia in Children with Esophageal Foreign Body Removal Results in Comparison

目的探讨小儿食管异物取出术的麻醉方式。方法选择年龄10个月～6岁、ASAⅠ～Ⅱ级的患儿34例,随机分为三组:A组11例,采用氯胺酮麻醉;B组13例,采用丙泊酚复合芬太尼静脉麻醉,保留自主呼吸,不作气管插管;C组10例,采用气管插管下丙泊酚复合芬太尼静脉麻醉。结果A组成功率为64%;B组、C组成功率为100%,其中B组38%SPO2≤90%。结论气管插管下丙泊酚复合芬太尼静脉麻醉应用于小儿食管异物取出术安全有效。

Objective To explore the anaesthetic methods of removing foreign body from esophagus of the children. Methods Thirty-four patients, ASA Ⅰ～Ⅱ grade, aged from 10 months to 6 years, were reseached. These patients were divided randomly into three groups ： Group A （n=11） was induced with ketamine. Group B（n=13） and group C（n=10） were anesthetized with inducing propofol and fentanyl. The former retained spontaneously breathing, and the latter controled breathing with endotracheal intubaion. Results The achievement ratio of group A was 64%, both group B and C were 100%. But the SPO2 of the thirty-eight percent in group B was below 90%. Conclusions The anaesthetic method, endotracheal intubation under propofol-fentanyl intravenous anesthesia used in children with esophageal foreign body removal is safe and effective.