摘要
目的探讨婴幼儿喉罩全麻复合骶管神经阻滞麻醉应用于先天性心脏病介入封堵治疗术后喂养的安全性及舒适度。方法纳入100例先天性心脏病介入封堵治疗术后的患儿,方便抽样分为两组。患儿先心介入术后,当改良Aldrete苏醒评分≥10分时,在不同的时机进行喂养。试验组采用按需喂养方法,对照组采用一般全麻术后护理常规的按时喂养,即患儿改良Aldrete苏醒评分≥10分仍需禁食禁饮6小时方可进食。两组患儿的进食顺序均一致。记录两组患儿麻醉清醒后出现胃肠道不良反应、呼吸循环异常情况,并评估两组患儿麻醉清醒及清醒后30 min、1 h、2 h、3 h、4 h、6 h的舒适度评分。结果试验组喂养时间早于对照组(P<0.05),两组均未发生恶心、呕吐等胃肠道不良反应。麻醉清醒后不同时间点两组舒适度比较差异有统计学意义(P<0.05)。结论经喉罩全麻复合骶管神经阻滞麻醉的先天性心脏病介入封堵治疗手术后,可以根据患儿的清醒程度尽早开始喂养,不会增加患儿术后与麻醉相关的胃肠道不适的发生。
Objective To explore the safety and comfort of feeding after interventional plugging treatment for infant congenital heart disease under throat mask full anesthesia combined with sacral nerve block anesthesia.Methods One hundred patients after in-terventional plugging treatment for congenital heart disease were divided into experimental and control groups.The infants were fed at different times according to when the improved Aldrete awake score was greater than 10.The experimental group adopted the method of feeding on demand.The control group adopted the normal nursing routine after general anesthesia, namely, the infants had to be con-sumed for 6 hours before feeding when the improved Aldrete awake score was more than 10 points.The order of feeding was the same in both groups.The symptoms of gastrointestinal and respiratory abnormalities were recorded in the both groups.The comfort score at 30 min,1h,2 h,3 h,4 h and 6 h was assessed.Results The feeding time of the experimental group was significantly earlier than that of the control group （P 〈0.05）.No nausea or vomiting occurred in the both groups.There was significant difference in comfort scores at different time points between the two groups （ P 〈0.05 ） .Conclusion After the operation, infants can be fed as soon as possible when the patients alertness begins.That would not increase the occurrence of postoperative gastrointestinal discomfort associated with anesthe-sia.
作者
张英姿
王秀琼
陈立平
付洁
ZHANG Yin-zi;WANGXiu-qiong;CHEN Li-ping;FU jie(Department of Pediatric Cardiology,Chengdu Women and Children＇s Central Hospital,Chengdu 610000,China)
出处
《实用医院临床杂志》
2018年第5期230-232,共3页
Practical Journal of Clinical Medicine
关键词
先天性心脏病
介入封堵术
喉罩全麻复合骶管神经阻滞
喂养
婴幼儿
Congenital heart disease
Interventional plugging technique
Laryngeal mask general anesthesia complex sacralnerve block
Feeding
Infants and young children
