喉罩麻醉与气管插管麻醉在婴儿麻醉中的比较分析

Comparative analysis of laryngeal mask anesthesia and endotracheal intubation anesthesia in the infant

目的:探讨喉罩麻醉与气管插管麻醉在婴儿麻醉中的效果和安全性,指导临床应用。方法:回顾性分析2008年12月～2010年12月在我院采用喉罩麻醉的126例婴儿的临床资料,并以同期采用气管插管麻醉的126例婴儿为对照组,比较两组患儿各麻醉控制点血液流变学(HR)、平均动脉压(MAP)变化情况以及麻醉并发症的发生率。结果:观察组患者各麻醉监测点血流动力学较对照组平稳。观察组拔管时间为(62.5±7.4)s,清醒时间为(118.7±12.3)s;对照组拔管时间为(322.5±71.0)s,清醒时间为(482.1±117.9)s,观察组拔管时间和清醒时间与对照组比较均明显缩短,组间差异有统计学意义(P<0.05)。观察组发现轻微肺部感染2例,药物治疗后痊愈。结论:喉罩麻醉具有操作简便,患儿血流动力学稳定,气道损伤小,麻醉苏醒快等优点,可满足婴儿手术要求,值得临床应用。

Objective： To study efficacy and safety, clinical application of laryngeal mask anesthesia and endotracheal in tubation anesthesia in infants. Methods： The clinical data of 126 cases of infant （observation group） from December 2008 to December 2010 in our hospital using laryngeal mask anesthesia were retrospectively analysed, and anesthesia with tra cheal intubation over the same period 126 cases of infants as the control group. Rheology of narcotic control point （HR）, mean arterial pressure （MAP） changes, and the incidence of anesthetic complications of all patients were compared. Re suits： Hemodynamics of the anesthesia monitoring sites of observation group was stable than that of the control group. Extu bation time of the observation group was （62.5±7.4） s, with awaking time （118.7±12.3） s; extubation time of control group was （322.5±71.0） s, with awaking time （482.1±117.9） s, extubation time and awaking time of observation group compared with the control group were significantly shorter, the difference between two groups was statistically significant （P〈0.05）. 2 cases with a slight lung infection found in the observation recovered after drug treatment. Conclusion： Laryngeal mask anesthesia is simple, with the advantages of hemodynamic stability in children, airway trauma small and anesthesia revive fast, surgery may be required to meet the baby, is worthy of clinical application.