| 肖煜,李强,沈世晖,胡华琨.I-gel喉罩下七氟烷吸入全麻在新生儿短小手术中的应用[J].井冈山大学自然版,2017,(6):102-104 |
| I-gel喉罩下七氟烷吸入全麻在新生儿短小手术中的应用 |
| APPLICATION OF SEVOFLURANE INHALATION OF GENERAL ANESTHESIA WITH I-GEL LARYNGEAL MASK IN NEONATAL SHORT-TERM OPERATION |
| 投稿时间：2017-09-06 修订日期：2017-10-10 |
| DOI：10.3969/j.issn.1674-8085.2017.06.021 |
| 中文关键词: I-gel喉罩 七氟烷 新生儿 短小手术 |
| 英文关键词: I-gel laryngeal mask airway sevoflurane neonates short-term operation |
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| 中文摘要: |
| 目的 评价I-gel喉罩下七氟烷吸入全麻在新生儿短小手术中的应用效果。方法 选择行短小手术的新生儿40例，随机均分为I-gel喉罩组（A组）和气管插管组（B组），每组20例。七氟烷吸入诱导完成后，A组患儿置入I-gel喉罩，B组患儿插入气管导管，成功后行控制呼吸，七氟烷维持麻醉。结果 两组患儿插管（或喉罩）的成功率无显著差异；但A组患儿喉罩置入所需时间显著短于B组患儿的插管所需时间（P<0.05）。T1时A组患儿MAP、HR较B组明显降低（P<0.05）；T1~T3时，两组患儿气道峰压、气道密封压、SPO2、PETCO2均在正常范围内，且两组患儿SpO2、PETCO2差异无统计学意义。A组患儿拔除喉罩后哭声嘶哑、呛咳、有血性分泌物发生率明显小于B组（P<0.05），两组患儿均未发生反流误吸。结论 I-gel喉罩下七氟烷吸入全麻用于新生儿短小手术，方便快捷，通气效果好，置入成功率高，不良反应少。 |
| 英文摘要: |
| Objective:To evaluate the effects of sevoflurane inhalation of general anesthesia with I-gel laryngeal mask in neonatal short-term operation. Methods:40 cases of neonatal short-term operation, were randomly divided into I-gel laryngeal mask group (group A) and tracheal intubation group (group B), 20 cases per group. After the induction of anesthesia, A group of children were imbedded with I-gel laryngeal, B group of children with intubation mechanical control ventilation, breath control and sevoflurane anesthesia maintenance were done. Results:There were no significant differences between the two groups in the success rate of intubation (laryngeal mask). However, the time required for laryngeal mask insertion in A group was significantly lower than that in B group (P<0.01). MAP, HR in A group were significantly lower than those in B group at T1(P<0.05); The Ppeak, Pleak, SpO2, PETCO2 of the two groups were in the normal range from T1 to T3, and there were no significant differences in SpO2 and PETCO2 between the two groups. The incidence of hoarseness, cough, and surface blood in A group was significantly lower than that in B group (P<0.05), and there was no reflux aspiration in the two groups. Conclusion:I-gel laryngeal mask airway can achieve the satisfactory effect in sevoflurane inhalation of general anesthesia in neonatal short-term operation. It is easy to operate, with high success rate and few complications. |
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