摘要
目的探讨静吸复合麻醉在儿童泪道探通术麻醉中的应用效果。方法前瞻性选取2020年1月1日至12月31日济南市第二人民医院收治的168例拟行泪道探通术治疗的泪道阻塞患儿,按随机数字表法分为对照组(84例)和观察组(84例)。对照组中男36例,女48例,月龄(10.74±1.94)个月;观察组中男39例,女45例,月龄(10.79±1.88)个月。对照组采用常规表面麻醉,观察组采用静吸复合麻醉。比较两组临床疗效,统计并对比两组术中及术后并发症发生情况。结果观察组治疗总有效率高于对照组[91.67%(77/84)比79.76%(67/84)],观察组术中呛咳发生率低于对照组[0.00%(0/84)比10.71%(9/84)],术后2个月内,观察组术后出血、术后溢泪、假道形成发生率均低于对照组,差异均有统计学意义(均P<0.05)。结论静吸复合麻醉在儿童泪道探通术麻醉中的应用效果较好,能够减少术中呛咳、术后出血、术后溢泪、假道形成的发生。
Objective To investigate the application effect of intravenous inhalation combined anesthesia in the anesthesia of lacrimal duct probing in children.Methods A total of 168 children with lacrimal duct obstruction who were prepared for lacrimal duct probing in Jinan Second People's Hospital from January 1 to December 31,2020 were selected prospectively,and were divided into a control group(n=84)and an observation group(n=84)with the random number table method.In the control group,there were 36 males and 48 females,with an age of(10.74±1.94)months old.In the observation group,therewere 39males and 45 females,with an age of(10.79±1.88)months old.The control group was given conventional surface anesthesia,and the observation group was given intravenous inhalation combined anesthesia.The clinical curative effects of both groupswere compared,the intraoperative and postoperative complications were counted and compared between the two groups.Results The total effective rate of the observation group was higher than that of the control group[91.67%(77/84)vs.79.76%(67/84)],and the incidence of intraoperative cough in the observation group was lower than that in the control group[0.00%(0/84)vs.10.71%(9/84)],the incidences of postoperative bleeding,postoperative epiphora,and formation of false passage in the observation group were lower than those in the control group,with statistically significant differences(all P<0.05).Conclusion The application effect of intravenous inhalation combined anesthesia in the anesthesia of lacrimal duct probing in children is better,which can reduce the occurrence of intraoperative cough,postoperative bleeding,postoperative epiphora,and formulation of false passage.
作者
葛俊峰
熊慧
吴吉智
Ge Junfeng;Xiong Hui;Wu Jizhi(Department of Anesthesiology,Jinan Second People's Hospital,Jinan 250001,China;Pediatric Tumor Department,Shandong Cancer Hospital,Jinan 250117,China;Department of Anesthesiology,Shandong Second People's Hospital(Shandong Otolaryngology Hospital),Jinan 250022,China)
出处
《国际医药卫生导报》
2021年第16期2576-2578,共3页
International Medicine and Health Guidance News
关键词
泪道探通术
麻醉
静吸复合麻醉
并发症
Lacrimal duct probing
Anesthesia
Intravenous inhalation combined anesthesia
Complications
作者简介
通信作者:吴吉智,Email:wujizhi888@163.com。
