摘要
目的 探讨喉罩在脑瘫无框架脑立体定向患儿麻醉中的安全性.方法 选择全麻下脑瘫无框架脑立体定向手术的患儿59例,男35例,女24例,年龄1～10岁,随机分为观察组（29例）和对照组（30例）.均采用静脉快诱导气管插管术,其中观察组使用喉罩置人进行气道管理,对照组实施气管插管术,比较两组麻醉诱导时间、插管（喉罩）时间、苏醒及拔管（喉罩）时间,并测定两组诱导时、术中维持和拔管（喉罩）时BIS,记录两组围麻醉期发生的不良反应.结果 观察组麻醉诱导时间、插管（喉罩）时间、苏醒时间及拔管（喉罩）时间明显短于对照组（P＜0.05）,麻醉诱导时、术中维持及拔管（喉罩）时BIS明显高于对照组（P＜0.05）,麻醉期间发生呛咳、躁动及喉痉挛比例明显低于对照组（P＜0.05）.结论 喉罩运用于脑瘫无框架脑立体定向患儿,减轻了对患儿刺激,降低了麻醉深度要求,是一种安全有效的呼吸道管理方法.
Objective To investigate the safety of laryngeal mask airway in frameless stekeotactic of cerebral palsy.Methods Fifty nine patients （male/female 35/24,aged 1-10 years） receiving frameless stereotactic neurosurgery were randomly divided into control group（n =30） and observing groups（n =29）.All patients received general anesthesia.The observing group patients received laryngeal mask airway and control patients received endotracheal intubation.The induction time,intubation time,recovery and extubation time,and adverse effect were compared in the two groups.BIS values were also recorded at anesthesia induction,during the surgery,and at the time of extubation（laryngeal mask）.Results In the observation group,anesthesia induction time,intubation （laryngeal mask） time,recovery time and extubation time were less than control group（P〈0.05）.BIS values at anesthesia induction,during the surgery and at the time of extubation were higher than those in control group.The incidence of bucking,agitation and laryngeal spasm during the surgery was lower in observing group.Conclusion Laryngeal mask airway is a safe and effective management with less airway stress and less anesthesia depth needs in frameless stereotactic neurosurgery in cerebral palsy patients.
出处
《临床麻醉学杂志》
CAS
CSCD
北大核心
2014年第1期58-60,共3页
Journal of Clinical Anesthesiology
关键词
喉罩
脑瘫
无框架
脑立体定向
Laryngeal Mask
Cerebral Palsy
Frameless
Stereotactic
作者简介
通信作者：李海华，Email：haihua49391@126．com
