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中国临床研究英文版:2023,36(8):1148-1151
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喉罩麻醉与气管插管麻醉用于小儿腹腔镜疝气修补术效果对比
(浙江大学医学院附属儿童医院,浙江 杭州 311199)
Comparison of clinical effects between laryngeal mask anesthesia and tracheal intubation anesthesia in pediatric laparoscopic hernia repair
(Children's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang 311199, China)
摘要
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Received:February 23, 2023   Published Online:August 20, 2023
中文摘要: 目的探讨在小儿腹腔镜疝气修补术中,对比喉罩麻醉与气管插管麻醉的临床效果。方法研究对象为浙江大学医学院附属儿童医院2021年1月至2022年1月收治的100例腹股沟斜疝患儿,将患儿随机分为观察组(喉罩麻醉治疗)和对照组(气管插管麻醉治疗),各50例,比较两组患儿治疗有效率及并发症情况。结果观察组患儿的治疗有效率高于对照组,差异有统计学意义(96.0%vs80.0%, χ2=6.061, P<0.05)。麻醉后,观察组患者收缩压(SBP)、心率(HR)、平均动脉压(MAP)优于对照组(P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(4.0%vs20.0%, χ2=6.061, P<0.05)。结论与气管插管麻醉相比,喉罩麻醉手术治疗小儿疝气可提高治疗有效率,改善患者麻醉血流动力学,降低并发症的发生。
Abstract:ObjectiveTo investigate the clinical effect of laryngeal mask anesthesia and tracheal intubation anesthesia for pediatric laparoscopic hernia surgery anesthesia. MethodsThe research subjects were 100 children with inguinal hernia admitted to Children's Hospital, Zhejiang University School of Medicine from January 2021 to January 2022. The patients were randomly divided into the observation group (laryngeal mask anesthesia) and the control group (tracheal intubation anesthesia), 50 cases in each group. The treatment effect and complication of two groups were compared. ResultsThe treatment effective rate of the observation group was significantly higher than that of control group, the difference was statistically significant (96.0%vs80.0%, χ2=6.061, P<0.05). After anesthesia, systolic pressure, heart rate, mean arterial pressure in observation group were significantly better than those in control group (P<0.05). The complication rate in observation group was lower than that in control group, with a statistically significant difference (4.0%vs20.0%, χ2=6.061, P<0.05). ConclusionCompared with tracheal intubation anesthesia, laryngeal mask anesthesia has achieved good results in the treatment of hernia in children, significantly improved the overall treatment efficiency and anesthesia hemodynamic index, reduced the complication rate of children.
文章编号:     中图分类号:R656.2+1    文献标志码:A
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