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目的观察气管插管麻醉和喉罩麻醉在临床婴儿麻醉中的应用效果。方法 70例行手术治疗的患儿分成甲、乙两组,各35例,分别给予喉罩麻醉和传统气管插管麻醉,并观察其麻醉效果。结果两组均取得良好的麻醉效果,且甲组拔管时间与清醒时间分别是(54±12)s、(126±21)s,显著要短于乙组的(285±41)s、(480±100)s,甲组患儿喉痉挛情况的发生率也更低,仅有1例患儿出现了喉痉挛情况,发生率是2.86%,显著低于乙组的17.14%,均差异具有统计学意义(P<0.05)。结论在婴儿手术治疗中,给予其喉罩麻醉,不仅操作简单便捷,缩短了麻醉苏醒的时间,而且安全有效,对患儿喉部的刺激小,值得大力推广与应用。
Objective To observe the effect of tracheal intubation anesthesia and laryngeal mask anesthesia in clinical infant anesthesia. Methods A total of 70 children undergoing surgical treatment were divided into two groups (A and B), 35 cases each. Laryngeal mask anesthesia and tracheal intubation were performed respectively, and the anesthetic effect was observed. Results The good anesthetic effect was obtained in both groups. The extubation time and awake time in group A were (54 ± 12) s and (126 ± 21) s respectively, significantly shorter than those in group B (285 ± 41) s and 480 ± 100) s. The incidence of laryngospasm in children with Group A was also lower. Only 1 patient had laryngospasm, the incidence was 2.86%, which was significantly lower than that of Group B (17.14%) Statistical significance (P <0.05). Conclusion In the surgical treatment of infants, giving them laryngeal mask anesthesia not only has the advantages of simple and convenient operation, shorten the time of anesthesia awakening, but also is safe and effective. It is worth to promote and apply laryngeal stimulation to infants.