唇腭裂整复术麻醉安全时机的临床研究

目的 :为探索唇腭裂整复术有利的麻醉时机。方法 :随机选择 ～ 度唇腭裂择期整复术患儿 1 6 0例。按年龄和有无伴发腭裂情况平均分为 4组 : 组 :3～ 6个月 ; 组 :7个月～ 1岁 ,均单发唇裂 ; 组 :2岁～ 3岁 ; 组 :4～ 7岁 ,均唇裂伴发腭裂。观察麻醉期间 Sp O2 (脉搏血氧饱和度 )的变化和麻醉并发症发生情况。结果 : 组、 组 Sp O2 变化均明显高于 组 ,拔管后舌后坠、喉痉挛、气管痉挛等并发症发生率均明显低于 组 ,P<0 .0 5。结论 :唇裂整复术的有利麻醉时机应选择在 6～ 1 2个月 ,而唇腭裂同时整复术应选择在 2岁～ 3岁为宜

The clinical study on anesthetic safety time in taxis of cleft lip and cleft palate

Objective To explore an advantageous anesthetic time in taxis of cleft lip and palate.Method 160 patients with Ⅱ-Ⅲ degree cleft lip and palate were random selection divided into 4 groups,Ⅰ group for 3～6 months old and Ⅱ group for 7～12 months old without cleft palate,Ⅲ group for 2～3 years old and Ⅳ group for 4～7 years old with cleft palate.SpO 2 during anesthesia and complications after anesthesia were observed.Results SpO 2 was much higher and complications of laryngospasm,tracheal spasm and glossocoma were much lower in Ⅱ and Ⅲ groups than Ⅰ group,P<0 05.Conclusion The anesthetic safety time was 6～12 months old for cleft lip and 2～3 years old for cleft lip and palate.