喉罩全麻与硬膜外麻醉在学龄儿术中的应用比较简

目的：比较喉罩全麻与硬膜外麻醉用于学龄小儿手术的效果与安全性。方法：选择60例ASAⅠ级拟行腹部或下肢手术的患儿，随机分为喉罩组（L组）和硬膜外组（C组），每组30例。观察患儿术中生命体征、苏醒时间、PACU停留时间、围术期并发症。结果：在T1、T2、T3，L组SpO2显著优于C组（P〈0.05）。C组T1时HR与T0比较明显增快，并且快于L组T1时间点（P〈0.05）。 L组苏醒时间、PACU停留时间明显短于C组（P〈0.05），L组呛咳、呼吸抑制发生率明显低于C组（P〈0.05）。结论：喉罩可安全地用于学龄儿童的麻醉，尤其对呼吸道的管理明显优于硬膜外麻醉。

Comparison of laryngeal mask anesthesia and epidural anesthesia in the operation of the school-age children

Objective：To compare the safety and efficacy of laryngeal mask anesthesia and epidural anesthesia for school-age children. Methods：Sixty children with ASAⅠundergoing abdominal or lower extremity operation, were randomly divided into laryngeal mask general anesthesia group（group L） and epidural anesthesia group （group C）. De-mographic data,heart rate, non-invasive blood pressure, pulse oximeter oxygen satutraion were recorded for each child. In addition, time fromtermination of surgery to emergence and duration of stay in the PACU, side effects were recorded. Results：In T1, T2, T3, group L SpO2 was significantly superior to group C. Group C T1 HR and T0 is signifi-cantly faster, and faster than T1 group L. The emergence time and duration of stay in the PACU of group C were sig-nificantly shorter than those of group L. The incidence of cough and respiratory inhibition in the C group were signifi-cantly higher than that in the group L. Conclusion：Laryngeal mask anesthesia can be safely used for children, espe-cially for the management of respiratory tract was obviously better than that of epidural anesthesia.