喉罩与气管插管在小儿全麻气道管理中的疗效分析

Efficacy of the laryngeal mask and tracheal intubation in pediatric anesthesia airway management

目的:探讨分析喉罩与气管插管在小儿全麻气道管理中的临床效果.方法:选取我院2014-04/2015-03收治的96例手术中实施全麻的患儿作为研究对象,用随机数据表法将其分为观察组(n=52)和对照组(n=44),观察组全麻后采用喉罩进行气道管理,对照组全麻后采用气管插管进行气道管理,分析对比两组患儿术中心率,平均动脉压以及术后不良反应等各个指标的变化情况.结果:观察组患儿手术后的心率、平均动脉压均明显低于对照组,差异有统计学意义(P<0.05);观察组患儿术后发生不良反应的发生率明显低于对照组,差异有统计学意义(P<0.05).结论:喉罩相较于气管插管在小儿全麻气道管理中效果更加明显,能够显著降低不良反应的发生率,在临床应用中具有重要的意义,值得进一步推广.

AIM： To investigate the clinical effects of laryngeal mask and tracheal intubation in the management of airway in pedi？atric anesthesia. METHODS：A total of 96 children patients with general anesthesia surgery admitted into our hospital from April 2014 to March 2015 were randomly divided into observation group and control group, with 52 cases in observation group and 44 cases in control group. The observation group was treated by laryn？geal mask after general anesthesia. The control group was treated by tracheal intubation after general anesthesia. The intraoperative heart rate, mean arterial pressure and postoperative adverse reaction of both groups after treatment were observed. RESULTS：Heart rate and mean arterial pressure in children after surgery of the observa？tion group were significantly lower than those of the control group, with statistically signifcant differences between the two groups （ P〈0.05）; postoperative adverse reaction of the observation group was significantly lower than that of control group, and there was a statistically significal difference between the two groups （ P〈0.05） . CONCLUSION：Compared with tracheal intubation, laryngeal mask airway can significantly reduce the incidence of adverse reactions, and has an important significance in clinical application. It is worthy of promotion in clinical practice.