Laryngeal mask anesthesia versus tracheal intubation anesthesia in pediatric ophthalmic surgery

国际医药卫生导报 Pub Date : 2019-10-01 DOI:10.3760/CMA.J.ISSN.1007-1245.2019.19.024

Su Wenpeng

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Abstract

Objective To investigate the application of laryngeal mask anesthesia versus endotracheal intubation anesthesia in pediatric ophthalmic surgery. Methods Forty children undergoing pediatric ophthalmic surgery in our ward from March, 2017 to May, 2018 were selected, and randomly divided into an observation group and a control group, 20 cases for each group. The observation group took laryngeal mask anesthesia before the operation, and the control group tracheal intubation anesthesia. The anesthetic effects, recovery times, extubation times, and adverse reactions of the two groups were compared and analyzed. The levels of HR and MAP in each anesthesia control point of the two groups were compared. Results There were no statistical differences in MAP between the two groups after entering the operating room and after anesthesia intubation (both P>0.05). The MAP of the observation group after anesthesia intubation and at the end of the operation were (80.5±5.9) mmHg and (81.1±5.9) mmHg, which were significantly lower than those of the control group; and was (80.4±5.5) mmHg during the operation, which was higher than that of the control group; with statistical differences (all P 0.05). The HR of the observation group when the operation was over and after extubation were (147.5±10.7) beats/min and (144.8±9.6) beats/min, which were lower than those of the control group; and was (152.6±18.1) beats/min after anesthesia intubation, which was higher than that of the control group; with statistical differences (all P<0.05). The total anesthesia effective rate was 95.00% in the observation group, and 70.00% in the control group (P<0.05). The recovery time and extubation time of the observation group were (12.5±3.8) min and (2.1±0.7) min, which were significantly shorter than those of the control group (both P<0.05). The incidence of adverse reactions was 10.00% in the observation group and 30.00% in the control group (P<0.05). Conclusions In pediatric ophthalmic surgery, laryngeal mask anesthesia has a smaller hemodynamic effect and is safer than tracheal intubation anesthesia, significantly shortening the extubation time and recovery time. Key words: Laryngeal mask anesthesia; Tracheal intubation anesthesia; Anesthesia effect

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小儿眼科手术中喉罩麻醉与气管插管麻醉的比较

目的探讨喉罩麻醉与气管插管麻醉在小儿眼科手术中的应用。方法选择2017年3月至2018年5月在我病房接受小儿眼科手术的40例患儿，随机分为观察组和对照组，每组20例。观察组术前采用喉罩麻醉，对照组采用气管插管麻醉。比较分析两组的麻醉效果、恢复时间、拔管时间和不良反应。比较两组各麻醉控制点的HR和MAP水平。结果两组进入手术室后和麻醉插管后MAP无统计学差异（均P>0.05），观察组麻醉插管后和手术结束时MAP分别为（80.5±5.9）mmHg和（81.1±5.9）mm Hg，均显著低于对照组；术中为（80.4±5.5）mmHg，高于对照组；观察组术后及拔管后心率分别为（147.5±10.7）次/分和（144.8±9.6）次/分钟，均低于对照组；麻醉插管后为（152.6±18.1）次/分，高于对照组；观察组总麻醉有效率为95.00%，对照组为70.00%（P<0.05），观察组恢复时间和拔管时间分别为（12.5±3.8）min和（2.1±0.7）min，不良反应发生率观察组为10.00%，对照组为30.00%（P<0.05），显著缩短了拔管时间和恢复时间。关键词：喉罩麻醉；气管插管麻醉；麻醉效果

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国际医药卫生导报

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