唇腭裂患儿术后麻醉苏醒期并发症评估

    Analysis of complications in young children with cleft lip and palate during the waking period of anesthesia after surgery operation

    • 摘要: 目的:分析唇腭裂患儿手术麻醉苏醒期并发症的分布特点,探讨有效预防治疗措施。方法:650例3个月~6岁唇腭裂手术患儿,根据年龄分为3组:婴儿组3个月~1岁,幼儿组>1~3岁,儿童组>3~6岁,对麻醉苏醒期所出现的并发症进行评估和分析。结果:各年龄组中并发症分布不一致,婴儿组以低氧血症(23.0%)多见,幼儿组以心动过速(7.4%)和低氧血症(8.5%)多见,儿童组则以呕吐(10.9%)、躁动(6.5%)多见(P<0.05)。结论:对唇腭裂患儿麻醉苏醒期应加强观察和监测,并根据年龄特点采取不同的治疗和护理措施。

       

      Abstract: Objective:To analyze the complications in children with cleft lip and palate during the waking period of anesthesia after surgery operation,and to find out the preventive and treatment measures.Methods:Six hundred and fifty children with cleft lip and palate were divided into three age groups:infant group (3 month-1 year),young child group (>1-3 year) and child group (>3-6 year).The complications in the waking period of anesthesia after surgery operation were observed and analyzed retrospectively.Results:The incidence of complications in each group was different.Hypoxemia was most often noted in infant group (23.0%),pyknocardia (7.4%) and hypoxemia (8.5%) were commonly observed in young child group,and vomiting (10.9%) and restlessness (6.5%) in child group (P<0.05).Conclusions:Children with cleft lip and palate should be closely monitored in the waking period of anesthesia group after surgery operation so that specific therapy and nursing can be applied in accordance to the age.

       

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