七氟烷吸入全麻保留自主呼吸用于小儿舌系带矫正术的效果研究

口腔医学研究 ›› 2015, Vol. 31 ›› Issue (9): 920-922.

七氟烷吸入全麻保留自主呼吸用于小儿舌系带矫正术的效果研究

戴仁锋^1*,王伟娟¹,林仁²,刘伟东²

1. 丽水市人民医院麻醉科·温州医学院附属第六人民医院浙江丽水 323000;
2. 丽水市人民医院口腔科·温州医学院附属第六人民医院

收稿日期:2015-04-11 出版日期:2015-09-28 发布日期:2016-05-04
通讯作者: 戴仁锋,电话:0578-2780102
作者简介:戴仁锋(1974~ ),男,江西临川人,学士,主要从事临床麻醉医学研究。
基金资助:
浙江省丽水市科技计划项目(编号:2014ZC002)

Keeping Spontaneous Breathing of Sevoflurane Inhalation Anesthesia on the Tongue-tie Surgery of Young Children

DAI Ren-feng¹, WANG Wei-juan¹, LIN Ren², LIU Wei-dong²

1. Department of anesthesiology, Lishui people' Hospital, the Sixth Affiliated Hospital of Wenzhou Medical University;
2. Department of stomatology, Lishui people' Hospital, the Sixth Affiliated Hospital of Wenzhou Medical University. Wenzhou 323000, China

Received:2015-04-11 Online:2015-09-28 Published:2016-05-04

摘要/Abstract

摘要： 目的:观察小儿舌系带矫正术中七氟烷吸入全麻保留自主呼吸的麻醉效果和安全性。方法:选择小儿舌系带矫正术患儿50例,由同一组麻醉师采用七氟烷吸入麻醉诱导并保留自主呼吸。术中观察小儿自主反应、监测脉搏、血压、血氧饱和度,并记录手术时间、术中不良反应、吸入麻醉药量及苏醒时间。结果:50例患儿术中有7例出现SpO₂低于90%, 其中5例经抬高下颌、2例经面罩加压给氧后SpO₂均迅速恢复至99%;3例出现一过性短暂喉痉挛,加压给氧后均自行缓解。全组患儿均未进行气管插管,也未出现血压下降现象。结论:七氟烷吸入麻醉保留自主呼吸可满足小儿舌系带矫正术,具有安全快捷优点。

关键词: 七氟烷, 自主呼吸, 儿童舌系带矫正术

Abstract: Objective: To study the efficacy and safety of sevoflurane inhalation anesthesia and keeping spontaneous breathing in children undergoing the tongue-tie surgery. Methods: 50 children undergoing elective tongue-tie surgery were selected as the research objects. Sevoflurane induction anesthesia with spontaneous breathing for these children were done by the same professional anesthetist. Pulse, blood pressure, oxygen saturation were monitored during the operations, and the operative time, intraoperative adverse rections, drug dosage and recovery time were recorded. Results: Seven cases' SPO₂ were less than 90%, and five of them were remised after jaw-lift, while the other two were remised by pressurized oxygen through a mask. No case was found with tracheal intubation or hypotension. Three cases suffered from laryngeal spasm and relieved without any treatment. Conclusion: Our study supports the view that Sevoflurane induction anesthesia with spontaneous breathing might be a safe and efficient way for children undergoing the tongue-tie surgery.

Key words: Sevoflurane, Keep the spontaneous breathing, Young children, Tongue-tie surgery

中图分类号:

R614

戴仁锋,王伟娟,林仁,刘伟东. 七氟烷吸入全麻保留自主呼吸用于小儿舌系带矫正术的效果研究[J]. 口腔医学研究, 2015, 31(9): 920-922.

DAI Ren-feng, WANG Wei-juan, LIN Ren, LIU Wei-dong. Keeping Spontaneous Breathing of Sevoflurane Inhalation Anesthesia on the Tongue-tie Surgery of Young Children[J]. Journal of Oral Science Research, 2015, 31(9): 920-922.