喉罩复合超快通道麻醉技术在先天性心脏病患儿介入治疗中的应用效果

Application of laryngeal mask combined with ultrafast channel anesthesia in interventional treatment of children with congenital heart disease

目的观察喉罩复合超快通道麻醉技术(UFTA)在先天性心脏病患儿介入治疗中的应用效果。方法选取2017年1月至2018年2月尉氏县人民医院行介入治疗的86例CHD患儿纳入研究,按随机数表法将其分为A、B两组,各43例。A组接受气管插管复合UFTA,B组接受喉罩复合UFTA。记录两组患儿麻醉清醒时间、开始进食时间及住院时间;记录两组患儿不同时间点MAP和HR水平;统计两组患儿躁动、咽痛、喉痉挛发生率。结果 B组患儿麻醉清醒时间、开始进食时间和住院时间均短于A组,差异有统计学意义(P <0. 05)。B组患者T_1、T_2、T_3、T_4时的MAP和HR水平均低于A组,差异有统计学意义(P <0. 05)。B组患儿术后躁动、咽痛、喉痉挛等不良反应发生率均低于A组,差异有统计学意义(P <0. 05)。结论 CHD患儿介入治疗过程中使用喉罩复合UFTA麻醉临床效果较好,术中生命体征较平稳,术后清醒较早,术后不良反应少。

Objective To observe the effect of laryngeal mask combined with ultrafast channel anesthesia( UFTA) in interventional treatment of children with congenital heart disease. Methods Eighty-six CHD children who underwent interventional therapy in the Weishi County People’s Hospital from January 2017 to February 2018 were enrolled in the study. They were divided into group A and B according to the random number table method,43 cases in each group. Group A received endotracheal intubation combined with UFTA,while group B received laryngeal mask combined with UFTA. The awakening time,recovery eating time and length of hospital stay were recorded. The levels of MAP and HR at different time points were recorded. The incidence of restlessness,pharyngalgia and laryngeal spasm in the two groups were counted. Results The awakening time,recovery eating time and length of hospital stay of group B were shorter than those of group A( P < 0. 05). The levels of MAP and HR at T1,T2,T3 and T4 in group B were lower than those in group A( P < 0. 05). The incidence of adverse reactions such as restlessness,pharyngalgia and laryngeal spasm in group B was lower than that in group A( P < 0. 05). Conclusion The clinical effect of laryngeal mask combined with UFTA anesthesia in interventional treatment of CHD children is better,the vital signs are stable during operation with early awakening and less adverse reactions after operation.