唇腭裂整复术麻醉安全时机的临床研究

The clinical study on anesthetic safety time in taxis of cleft lip and cleft palate

目的 :为探索唇腭裂整复术有利的麻醉时机。方法 :随机选择 ～ 度唇腭裂择期整复术患儿 1 6 0例。按年龄和有无伴发腭裂情况平均分为 4组 : 组 :3～ 6个月 ; 组 :7个月～ 1岁 ,均单发唇裂 ; 组 :2岁～ 3岁 ; 组 :4～ 7岁 ,均唇裂伴发腭裂。观察麻醉期间 Sp O2 (脉搏血氧饱和度 )的变化和麻醉并发症发生情况。结果 : 组、 组 Sp O2 变化均明显高于 组 ,拔管后舌后坠、喉痉挛、气管痉挛等并发症发生率均明显低于 组 ,P<0 .0 5。结论 :唇裂整复术的有利麻醉时机应选择在 6～ 1 2个月 ,而唇腭裂同时整复术应选择在 2岁～

Objective To explore an advantageous anesthetic time in taxis of cleft lip and palate.Method 160 patients with Ⅱ-Ⅲ degree cleft lip and palate were random selection divided into 4 groups,Ⅰ group for 3～6 months old and Ⅱ group for 7～12 months old without cleft palate,Ⅲ group for 2～3 years old and Ⅳ group for 4～7 years old with cleft palate.SpO 2 during anesthesia and complications after anesthesia were observed.Results SpO 2 was much higher and complications of laryngospasm,tracheal spasm and glossocoma were much lower in Ⅱ and Ⅲ groups than Ⅰ group,P<0 05.Conclusion The anesthetic safety time was 6～12 months old for cleft lip and 2～3 years old for cleft lip and palate.