【摘要】 目的探讨适用于小儿24h食道pH及压力同步动态监测的置管方法。方法根据患儿或家长选择置管方法分为两组,19例采用传统方法为常规组,39例采用患儿坐在家长前,身体紧贴家长,用0.5%麻黄素涂于鼻腔黏膜,再用2%盐酸利多卡因喷入鼻腔局部的方法为新方法组。重点分析的指标有插管次数、操作时间和插管引起并发症的例数。结果新方法组在插管次数、操作时间和并发症等明显低于常规组。两组比较经统计学处理有显著性差异,P<0.05或P<0.01。结论操作前在鼻腔局部使用麻黄素和利多卡因及采用坐位是较适合小儿的插管方法。更多还原

【Abstract】 Objective To explore an appropriate intubation used for 24-hour esophageal pH-monitoring and manometry in infants. Methods Based on the selections from infants and their parents, 19 cases were put in control group and 39 in the experimental group, with conventional intubation and intubation after locally spraying lidocaine and ephedra, infant’s sitting position, respectively. The indices were analyzed including times for intubation, operation duration, complications. Results The experimental group was significantly lower than the control in view of intubation times, operation duration, and complications statistically (P<0.05, P<0.01). Conclusion The ideal intubation is infant’s sitting position and local administration of lidocaine and ephedra before intubation.更多还原