小儿先天性心脏病介入治疗中气管插管与非气管插管全身麻醉的临床分析

Clinical Analysis of Trachea Cannula General Anesthesia and Non-trachea Cannula General Anesthesia in the Interventional Treatment of Congenital Heart Disease in Children

目的对小儿先天性心脏病介入治疗中气管插管与非气管插管全身麻醉的临床效果进行观察。方法选取该院收治的54例先天性心脏病患儿进行究,收治时间为2015年6月—2016年6月期间,根据患儿的入院时间将其分为A组与B组两组,每组27例。患儿接受介入治疗过程中,A组为其实施气管插管全身麻醉,B组为非气管插管全身麻醉,比较两组患儿的动脉压、血氧饱和度及心率情况以及发生并发症的概率。结果 A组患儿的MAP为(9.83±1.26)mmHg,SpO_2为(98.86±0.97)%,HR为(95.18±9.26)次/min,与B组比较差异无统计学意义(P>0.05);A组患儿的并发症发生概率为11.11%,B组患儿的并发症发生概率为48.15%,A组明显小于B组(P<0.05)。结论对小儿先天性心脏病介入治疗中气管插管全身麻醉的临床应用效果显著,值得在今后临床中进一步推广实施。

Objective To observe the clinical effect of trachea cannula general anesthesia and non- trachea cannula general anesthesia in the interventional treatment of congenital heart disease in children. Methods 54 cases of children with congenital heart disease admitted and treated in our hospital from June 2015 to June 2016 were selected and di- vided into two groups with 27 cases in each, the group A adopted the trachea eannula general anesthesia, while the group .B adopted the non- trachea cannula general anesthesia, and the arterial tension, oxygen saturation of blood, heart rate and incidence rate of complications were compared between the two groups. Results The MAP, SpO2 and HR in the group A were respectively （9.83±1.26）mmHg, （98.86±0.97）% and （95.18±9.26）times/min, and there were no obvious differences compared with those in the group B（P〉0.05）, and the incidence rate of complications in the group A was obviously fewer than that in the group B （11.11% vs 48.15%）（P〈0.05）. Conclusion The clinical application effect of trachea eannula general anesthesia in the interventional treatment of congenital heart disease in children is obvious, which is worth further promotion and implementation in the future clinic.