小儿外科手术麻醉中双管喉罩的应用价值研究

Study of the application value of Pro Seal laryngeal mask anesthesia in children with pediatric surgery

目的:探讨双管喉罩在小儿外科手术麻醉中的临床应用价值。方法:选取2012年1月至2015年3月在我院进行外科手术的小儿60例,随机分为双管喉罩组和对照组,每组各30例。双管喉罩组患儿采用双管喉罩麻醉,对照组患儿采用气管插入导管麻醉,监测两组患者诱导前、插管时、术毕能唤醒时和拔管后平均动脉压(MAP)、心率(HR)、氧饱和度(Sp O2)的变化,记录两者患者拔管时间、清醒时间和不良反应发生情况。结果:对照组术毕能唤醒时和拔管后MAP、HR比诱导前上升,差异具有统计学意义(P<0.05);双管喉罩组拔管后MAP比诱导前上升,差异具有统计学意义(P<0.05);双管喉罩组拔管时间和清醒时间明显短于对照组,两组比较,差异具有统计学意义(P<0.05);双管喉罩组不良反应发生率(13.33%)低于对照组(36.67%),差异具有统计学意义(P<0.05)。结论:双管喉罩在小儿外科手术麻醉中具有较高的临床应用价值,患儿血流动力学稳定,麻醉恢复快,不良反应少,值得临床合理选用。

Objective： To discuss the clinical application value of Pro Seal laryngeal mask anesthesia in children with pediatric surgery. Methods： 60 cases of children with surgical operation from January 2012 to March 2015 in our hospital who were selected,they were randomly divided into laryngeal mask group and control group,there were 30 cases of each group. Children of laryngeal mask group used Pro Seal laryngeal mask anesthesia,children of the control group were anesthetized with endotracheal tube,mean arterial pressure（ MAP）,heart rate（ HR）,oxygen saturation（ Sp O2） changes of patients of two groups before induction,intubation,the wake-up time after operation and after extubation were monitored. Results： MAP,HR of the wake-up time after operation and after extubation were higher than those of higher than before induction（ P 〈0. 05）,and difference had statistical significance; MAP of laryngeal mask group after extubation increased than that before induction（ P〈 0. 05）,and difference had statistical significance; Extubation time and recovery time of laryngeal mask group were significantly shorter than those of the control group,the difference between the two groups was statistically significant（ P〈 0. 05）; The incidence of adverse reaction of the Pro Seal LMA group was（ 13. 33%） lower than（ 36. 67%） of the control group,and difference had statistical significance（ P 〈0. 05）. Conclusion： Pro Seal laryngeal mask in children with pediatric anesthesia surgery has high value of clinical application,hemodynamic of children patients is stability,anesthesia recovery is fast,it has less adverse reactions,which is worthy of clinical rational selection.