喉罩复合超快通道麻醉技术在先天性心脏病患儿介入治疗中的应用效果

目的观察喉罩复合超快通道麻醉技术(UFTA)在先天性心脏病患儿介入治疗中的应用效果。 方法将86例CHD患儿按随机数表法分为A、B两组，各43例。A组接受气管插管复合UFTA，B组接受喉罩复合UFTA。记录并比较两组患儿麻醉清醒时间、开始进食时间及住院时间，不同时间点MAP和HR水平，躁动、咽痛、喉痉挛发生率。 结果B组患儿麻醉清醒时间、开始进食时间和住院时间均短于A组(均P<0.05)；B组患者T₁、T₂、T₃、T₄时的MAP和HR水平均低于A组(均P<0.05)；B组患儿术后躁动、咽痛、喉痉挛发生率均低于A组(均P<0.05)。 结论CHD患儿介入治疗过程中使用喉罩复合UFTA麻醉效果较好，术中生命体征较平稳，患儿术后清醒早，不良反应较少，具有临床推广价值。

Application value of laryngeal mask combined with ultra-fast track anesthesia in interventional treatment of children with congenital heart disease

ObjectiveTo observe the application value of laryngeal mask combined with ultra-fast track anesthesia (UFTA) in interventional treatment of children with congenital heart disease. MethodsA total of 86 children with CHD were divided into group A and B by random number table method, 43 cases in each group. Group A received endotracheal intubation combined with UFTA, group B received laryngeal mask combined with UFTA. The awakening time of anesthesia, postoperative fasting time and hospitalization time were recorded and compared. MAP and HR levels at different time points, incidence of restlessness, pharyngalgia and laryngeal spasm were recorded and compared between the two groups. ResultsThe awakening time, eating time and hospitalization time of anesthesia in group B were shorter than those in group A (all P<0.05). The levels of MAP and HR at T₁, T₂, T₃ and T₄ in group B were lower than those in group A (all P<0.05). The incidence rates of restlessness, sore throat and laryngeal spasm in group B were lower than those in group A (all P<0.05). ConclusionLaryngeal mask combined with UFTA anesthesia is effective in interventional treatment of CHD children, with stable vital signs, early awakening after operation and fewer adverse reactions. It has clinical popularization value.