摘要
目的探究喉罩插管麻醉对先天性上睑下垂手术患儿血流动力学及应激反应的影响。方法收集眼科收治的60例先天性上睑下垂患儿,经数字随机表法分组,其中对照组30例,观察组30例。对照组采用气管插管麻醉,观察组采用喉罩插管麻醉,比较2组患者麻醉诱导前(T1)、插管(喉罩)即刻(T2)、拔管(喉罩)即刻(T3)、拔管(喉罩)5 min后(T4)各时间点的舒张压(DBP)、收缩压(SBP)和心率(HR)各血流动力学指标,以及平均动脉压(MAP)、血清皮质醇(Cor)和血氧饱和度(SaO 2)各应激反应指标。结果T2~T4时,对照组患者DBP、SBP和HR均高于T1(P<0.05),而观察组T4与T1差异无统计学意义(P>0.05);观察组T2~T4时DBP、SBP和HR均低于对照组,差异有统计学意义(P<0.05);2组T2、T3时MAP、Cor和SaO 2均低于T1,差异有统计学意义(P<0.05);观察组T2时MAP、Cor和SaO 2均低于对照组,T3时MAP、Cor和SaO 2均高于对照组,差异有统计学意义(P<0.05)。结论喉罩插管麻醉应用在小儿先天性上睑下垂手术中,可减轻对患儿血流动力学和应激反应的影响,能保证手术安全、稳定进行,有利于提升手术效果。
Objective To investigate the effects of laryngeal mask intubation anesthesia on hemodynamics and stress response in children with congenital ptosis.Methods 60 cases of congenital ptosis children in ophthalmology were collected and divided into control group(30 cases)and observation group(30 cases).The control group was anesthetized by endotracheal intubation,and the observation group was anesthetized by laryngeal mask intubation.The hemodynamic indexes of diastolic blood pressure(DBP),systolic blood pressure(SBP),heart rate(HR),mean arterial pressure(MAP),serum cortisol(COR)and blood oxygen saturation(SaO 2)were compared between the two groups before anesthesia induction(T1),(laryngeal mask)immediate intubation(T2),tube drawing(laryngeal mask)immediately(T3),tube drawing(laryngeal mask),5 min after each time point(T4).Results At T2-T4,DBP,SBP and HR in the control group were all significantly higher than T1(P<0.05),while there was no significant difference between T4 and T1 in the observation group(P>0.05).DBP,SBP and HR in the observation group were lower than those in the control group at T2-T4,with statistically significant differences(P<0.05).MAP,Cor and SaO2 in the two groups were all lower than T1 at T2 and T3,and the difference was statistically significant(P<0.05).In the observation group,MAP,Cor and SaO 2 were lower at T2 than in the control group,and MAP,Cor and SaO 2 were higher at T3 than in the control group,with statistically significant differences(P<0.05).Conclusion The application of laryngeal mask intubation anesthesia in the operation of children with congenital ptosis can reduce the influence on the hemodynamics and stress response of children,can ensure the safey and stability of the operation,and promote the operation effect.
作者
张茂先
张莉
吴茜萍
沙彦秀
于芝
马维义
ZHANG Maoxian;ZHANG Li;WU Xiping;SHA Yanxiu;YU Zhi;MA Weiyi(Department of Anesthesiology,People’s Hospital of Ningxia Hui Autonomous Region,Yinchuan 750002,China)
出处
《宁夏医学杂志》
CAS
2021年第1期50-52,共3页
Ningxia Medical Journal
关键词
上睑下垂手术
喉罩插管麻醉
血流动力学
应激反应
Ptosis surgery
Laryngeal mask intubation anesthesia
Hemodynamics
Stress response
