不同麻醉方法用于小儿纤维支气管镜检查的比较

Comparison of different anesthesia regimens performed in pediatric bronchoscopy

目的观察和比较三种常用麻醉方法在小儿纤维支气管镜（FOB）检查中的临床效果。方法首次行FOB检查患儿60例，年龄2～6岁，随机分为三组，分别采用喉罩联合静-吸复合麻醉（L组）、表麻联合静脉全麻（V组）或镇静联合表麻（c组）。记录检查时间和苏醒时间，以及呛咳、憋气、喉痉挛和肢体运动等不良反应情况。结果与c组比较，L组和V组苏醒时间明显延长（P〈0．05），V组患者呛咳、憋气、肢体运动和呼吸抑制发生率明显升高（P％0．05）。结论喉罩联合静-吸复合麻醉是用于小儿LFOB检查较为理想的麻醉方法。

Objective The present study aimed to compared three different anesthesia regimens performed in pediatric liberoptic bronchoscopy （FOB）. Methods Sixty children aged 2-6 years scheduled for bronchoscopy for the first time were randomly divided into three groups control ventilation group by laryngeal mask airway （group L）, intravenous combined with local anesthesia group （group V） , sedation combined with local anesthesia group （group C）. The incidence of adverse reactions included cough, short of breath, laryngospasm and body movement were also recorded. Results Incidence of cough and body movement in group C were significantly higher than those in group V （P〈0. 05）, while apnea and respiratory depression lower than group V （P〈0, 05）. The recovery time in L and V groups were longer than group C （P〈0.05）. Conclusion The general anesthesia bypass laryngeal mask airway was more preferable for the pediatric FOB.