嗅物位缓解小儿麻醉恢复期舌后坠的效果

Efficacy of sniffing position in alleviating glossoptosis during emergence from anesthesia in children

目的评价嗅物位缓解小儿麻醉恢复期舌后坠的效果。方法麻醉恢复期发生舌后坠的患儿200例，性别不限，年龄2-8岁，ASA分级Ⅰ或Ⅱ级，采用随机数字表法，将其分为4组（n=50）：头后仰组（A组）、头侧位组（B组）、口咽通气道组（C组）和嗅物位组（D组），记录舌后坠的缓解情况、喉痉挛、躁动、呕吐和口腔出血的发生情况。结果与A组比较，C组和D组舌后坠缓解率升高，B组舌后坠缓解率降低，C组喉痉挛、躁动和口腔出血的发生率升高（P〈0．05）。结论嗅物位可有效地缓解小儿麻醉恢复期舌后坠，且安全性良好。

Objective To evaluate the efficacy of sniffing position in alleviating glossoptosis during the emergence from anesthesia in children. Methods Two hundred pediatric patients who developed glos- soptosis during the emergence from anesthesia, aged 2-8 yr, of American Society of Anesthesiologists physical status Ⅰ or Ⅱ , were randomly divided into 4 groups （n = 50 each） using a random number table： head extension position group （ group A） , head tilted position group （ group B） , oropharyngeal airway group （ group C） and sniffing position group （ group D）. Alleviation of glossoptosis, and occurrence of la- ryngospasm, agitation, vomiting and oral hemorrhage were recorded. Alleviation rate was calculated. Re- sults Compared with group A, the alleviation rate was significantly increased in C and D groups, the alle- viation rate was decreased in group B, and the incidence of laryngospasm, agitation and oral hemorrhage was increased in group C （P〈0.05）. Conclusion Sniffing position can effectively alleviate glossoptosis during the emergence from anesthesia in children with good safety.