喉罩麻醉和气管插管麻醉在小儿短小手术麻醉效果中的比较

Comparative Study on Anesthetic Effect of Laryngeal Mask Anesthesia and Tracheal Intubation Anesthesia in Children's Short Operation

目的探讨喉罩麻醉和气管插管麻醉在小儿麻醉中的麻醉效果。方法将我院于2015年3月—2017年3月收治的70例患儿作为研究对象,将其随机分为实验组(35例)和对照组(35例)。对照组给予气管插管麻醉,实验组给予喉罩麻醉。对比两组苏醒时间、拔管时间、麻醉效果、拔管不良反应。结果实验组麻醉效果高于对照组,差异具有统计学意义(P<0.05)。实验组苏醒、拔管时间以及不良反应发生率均低(短)于对照组,差异均具有统计学意义(P<0.05)。结论虽然气管插管麻醉是一种安全可靠的麻醉方式,也在小儿麻醉中广泛使用,且具有一定的疗效,但其引发的不良反应较多且较为严重;而喉罩麻醉不仅具备气管插管麻醉的优点,还具备了面罩的优点,且引发的不良反应少且轻微,两者相比后者效果更为明显,因此,喉罩麻醉更适用于小儿麻醉中。

Objective To investigate the anesthetic effect of laryngeal mask anesthesia and tracheal intubation anesthesia in pediatric anesthesia. Methods 70 cases of children treated in our hospital from March 2015 to March 2017 were selected as study subjects. They were randomly divided into experimental group（35 cases） and control group（35 cases）. The control group was anesthetized with tracheal intubation, and the experimental group was anesthetized with laryngeal mask. The two groups of awakening time, extubation time, anesthesia effect and extubation adverse reaction were compared. Results The effect of anaesthesia in the experimental group was higher than that of the control group, and the difference was statistically significant（P 〈 0.05）. The rate of awakening, extubation and adverse reactions in the experimental group were all lower or shorter than those in the control group, and the difference was statistically significant（P 〈 0.05）. Conclusion Although tracheal intubation is a safe and reliable way of anesthesia, also widely used in pediatric anesthesia, and has a certain curative effect, but it caused many adverse reactions and serious; and not only has the advantages of laryngeal mask anesthesia tracheal intubation anesthesia, but also has the advantages of surface cover, and the adverse reactions caused by fewer than the latter, the effect is more obvious, therefore, laryngeal mask anesthesia is more suitable for pediatric anesthesia.