喉罩麻醉在眼科手术患儿中的应用效果

Application effects of laryngeal mask anesthesia in children undergoing ophthalmic surgeries

目的:观察喉罩麻醉在眼科手术患儿中的应用效果。方法:回顾性分析2019年3月至2020年6月该院收治的82例眼科手术患儿的临床资料,按麻醉方式不同分为对照组和观察组各41例。对照组采用气管插管麻醉,观察组采用喉罩麻醉。比较两组麻醉诱导前(T_(1))、置入喉罩/插管即刻(T_(2))、拔除喉罩/拔管前3 min(T_(3))、拔除喉罩/拔管后即刻(T_(4))的血流动力学指标[心率(HR)、收缩压(SBP)、舒张压(DBP)]水平,恢复自主呼吸时间,麻醉复苏时间,躁动发生情况及不良反应发生率。结果:T_(2)、T_(3)、T_(4)时,观察组HR、SBP和DBP水平均低于对照组,差异有统计学意义(P<0.05);观察组恢复自主呼吸时间和麻醉复苏时间均短于对照组,差异有统计学意义(P<0.05);观察组躁动发生等级低于对照组,差异有统计学意义(P<0.05);观察组不良反应发生率为9.76%(4/41),低于对照组的26.83%(11/41),差异有统计学意义(P<0.05)。结论:喉罩麻醉用于眼科手术患儿可维持血流动力学稳定,缩短恢复自主呼吸时间和麻醉复苏时间,减轻躁动,降低不良反应发生率,效果优于气管插管麻醉。

Objective:To observe application effects of laryngeal mask anesthesia in children undergoing ophthalmic surgeries.Methods:A retrospective analysis of the clinical data of 82 children undergoing ophthalmic surgeries in the hospital from March 2019 to June 2020 was performed.According to different anesthesia methods,they were divided into control group and observation group,each with 41 cases.The control group was given the tracheal intubation anesthesia,while the observation group used the laryngeal mask anesthesia.The hemodynamic index levels[heart rate(HR),systolic blood pressure(SBP),diastolic blood pressure(DBP)]before induction of anesthesia(T_(1)),immediately after laryngeal mask insertion/intubation(T_(2)),3 min before laryngeal mask removal/extubation(T_(3))and immediately after laryngeal mask removal/extubation(T_(4)),the spontaneous breathing recovery time,the anesthesia resuscitation time,the occurrence of restlessness,and the incidence of adverse reactions were compared between the two groups.Results:At T_(2),T_(3) and T_(4),the HR,SBP and DBP levels of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The spontaneous breathing recovery time and the anesthesia resuscitation time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The level of restlessness in the observation group was better than that in the control group,and the difference was statistically significant(P<0.05).Further,the incidence of adverse reactions in the observation group was 9.76%(4/41),which was lower than 26.83%(11/41)in the control group,and the difference was statistically significant(P<0.05).Conclusions:Laryngeal mask anesthesia can maintain the hemodynamic stability in the children undergoing ophthalmic surgeries,shorten the spontaneous breathing recovery time and the anesthesia resuscitation time,and reduce the restlessness occurrence and the incidence of adverse reactions.Moreover,it is superior to tracheal intubation anesthesia.