儿童上呼吸道软组织手术全身麻醉术后拔管期呼吸道不良事件的临床观察

Clinical observation on children's respiratory tract and soft tissue surgical anesthesia after extubation respiratory adverse events

目的:探讨儿童上呼吸道软组织手术全身麻醉术后拔管期呼吸道不良事件的发生情况。方法:选取收治的手术患儿180例,观察组和对照组各90例,两组患儿分别采用不同的全身麻醉手术方法,比较两组患儿呼吸道不良事件发生率及血气分析。结果:观察组患儿呼吸道不良事件发生率显著高于对照组,差异有统计学意义(P<0.05)。结论:儿童上呼吸道软组织手术全身麻醉术后拔管期不良事件的发生率较高,应采取积极有效的应对方法,使患儿平稳渡过拔管期。

Objective To explore adverse events incidence of children with respiratory tract and soft tissue surgery after general anes- thesia extubation. Method The 180 surgery children were selected and divided into observation group and control group,each group con- tained 90 cases. Two groups of children adopted different anesthesia methods. The respiratory adverse events and blood gas analysis were compared between the two groups. Results The incidence of adverse events in children with respiratory tract were significantly higher than that the control group, the difference was statistically significant（P 〈 0. 05 ）. Conclusion The adverse events incidence of children with re- spiratory tract and soft tissue surgery after general anesthesia extubation was high. We should take positive and effective way to deal with ,so that children can smooth out extubation.