【摘要】 目的探究喉罩麻醉与气管插管麻醉在小儿腹腔镜手术术后恢复质量。方法选取2015年6月—2016年9月在本院儿科行腹腔镜手术的患儿60例,随机分为观察组和对照组两组,每组各30例。观察组行喉罩麻醉,对照组行气管插管麻醉,比较两组患儿的各项生命体征指标及麻醉效果指标,观察两组患儿手术过程中心率、呼吸、血压、最高血压及血氧饱和度等指标。结果观察组患儿各术中不良反应率显著低于对照组（P<0.05）。对照组麻醉后5 min（t₂）心率为（85.6±11.7）次/分、麻醉后15 min（t₃）心率为（74.2±5.3）次/分,均高于观察组麻醉后5 min（t₂）心率为（86.3±9.4）次/分、麻醉后15 min（t₃）心率为（81.2±6.6）次/分,差异有统计学意义（P<0.05）。苏醒时间观察组为（10.3±5.7） min,显著短于对照组的（16.9±7.7） min,差异有统计学意义（P<0.05）。对照组最高血压t₂为（85.3±7.4） mm Hg、t₃为（86.4±4.6）mm Hg、显著高于观察组在t₂时的（84.7±3.4） mm Hg、t₃时的（86.4±4.6） mm Hg,差异有统计学意义（P<0.05）。观察组喉痉挛、术后躁动、呼吸抑制和术后恶心呕吐的发生率显著低于对照组（P<0.05）。结论经喉罩麻醉苏醒期短,麻醉平稳,心率及呼吸较对照组低,血氧饱和度高,手术恢复质量高,建议临床推广应用。更多还原

【Abstract】 Objective The purpose of the study is to explore postoperative recovery quality after pediatric laparoscopic surgery under the laryngeal mask anesthesia and endotracheal intubation anesthesia. Methods 60 children received pediatric laparoscopic surgery in our hospital during June 2015 and September 2016 were selected as study subjects and were randomly divided into observation group（ group A,n = 30） and the control group（ group B,n = 30）.Patients in group A received laryngeal mask anesthesia,and patients in group B received endotracheal intubation anesthesia. The heart rate,respiration,blood pressure,maximum blood pressure,blood oxygen saturation of the patients was observed. Results The incidence of intraoperative adverse events group A was significantly lower than group B（ P< 0.05）.5 min（ t₂） after anesthesia HR group B was（ 85.6±11.7）,15 min（ t₃） after anesthesia the HR was（ 74.2±5.3）,the heart rates in group B at time point t₂ and t₃ were higher than that of group A（ 86.3±9.4 and 81.2±6.6 respectively）,the differences were statistically significant（ P<0.05）.The revive time in group A（ 10.3±5.7 min） was significantly shorter than that in group B（ 16.9±7.7 min）,P< 0.05.Maximum blood in Group B at t₂（ 85.3±7.4） mm Hg and t₃（ 86.4±4.6） mm Hg were significantly higher than that in group A（ t₂: 84.7±3.4 mm Hg,t₃: 86.4±4.6 mm Hg）,the differences were statistically significant（ P<0.05）.The incidence rate of laryngospasmpostoperative agitation,respiratory depression and nausea and vomiting was lower in Group A than Group B（ P<0.05）. Conclusions The revive time of laryngeal mask anesthesia is short. It results steady anesthesia,low heart rate and breathe frequency,high oxygen saturation and quality surgery recovery.It is suggested to clinical popularization and application.更多还原