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目的探讨小儿喉罩在基层医院普外短小手术中的应用效果。方法 72例小儿普外科接受手术治疗的患儿,随机分为研究组与对照组,各36例。对照组予以静脉麻醉,研究组予以喉罩麻醉,比较两组患儿麻醉效果。结果两组患儿麻醉前(T1)平均动脉压(MAP)、心率(HR)以及血氧饱和度(SpO_2)水平比较差异无统计学意义(P>0.05);对照组患儿切皮时(T2)、切皮后30 min(T3)HR与MAP水平均高于本组T1时,差异具有统计学意义(P<0.05),而研究组比较差异无统计学意义(P>0.05);研究组患儿T2、T3的HR与MAP水平显著低于对照组,差异具有统计学意义(P<0.05)。两组不同时间段SpO_2水平均未发生明显变化,且两组比较差异无统计学意义(P>0.05)。研究组患儿各不良反应发生率低于对照组,差异具有统计学意义(P<0.05);研究组患儿术后苏醒时间为(8.35±1.42)min,短于对照组的(15.52±4.48)min,差异具有统计学意义(P<0.05)。结论在基层医院小儿普外短小手术中应用喉罩麻醉具有显著效果,操作简易,安全性高,值得在基层医院临床推广应用。
Objective To investigate the effect of pediatric laryngeal mask in general surgery in primary hospitals. Methods A total of 72 children undergoing general surgery in pediatric surgery were randomly divided into study group and control group, with 36 cases in each group. The control group was given intravenous anesthesia, and the study group was given laryngeal mask anesthesia. The anesthetic effects in both groups were compared. Results There was no significant difference in mean arterial pressure (MAP), heart rate (HR) and oxygen saturation (SpO2) before anesthesia between two groups (P> 0.05) (P <0.05), while there was no significant difference between study group and control group (P> 0.05). The study showed that there was no significant difference between the two groups (P> 0.05) The HR and MAP levels of T2 and T3 in children were significantly lower than those in control group (P <0.05). SpO2 levels did not change significantly in both groups at different time points, and there was no significant difference between the two groups (P> 0.05). The incidence of adverse reactions in the study group was lower than that in the control group (P <0.05). The recovery time of the study group was (8.35 ± 1.42) min, shorter than that of the control group (15.52 ± 4.48 ) min, the difference was statistically significant (P <0.05). Conclusion The application of laryngeal mask anesthesia in the pediatric general surgery in primary hospitals has a significant effect, simple operation, high safety and is worthy of clinical application in primary hospitals.