腭裂整复术麻醉安全时机的临床研究

Clinical study on the safe anesthetic time for taxis of cleft palate

摘要: 目的: 探索腭裂整复术的有利麻醉时机。方法: 随机选择单侧完全性唇腭裂择期整复术患儿180例。按年龄平均分为3组:A组1~2岁;B组2~3岁;C组4~7岁。观察麻醉期间脉搏血氧饱和度(SpO₂)的变化和麻醉并发症发生情况。结果: B组、C组SpO₂变化均明显高于A组(P<0.01);拔管后舌后坠、喉痉挛及气管痉挛等并发症发生率均低于A组(P<0.05),而B组、C组之间的各项差异均无统计学意义(P>0.05)。结论: 腭裂整复术的有利麻醉时机应选择在2~3岁为宜。

Abstract: Objective: To seek an advantageous anesthetic time for taxis of palate.Methods: One hundred and eighty patients with lateral complete cleft palate were randomly divided into 3 groups according to their ages:patients in group A were 1-2 years old,group B were 2-3 years old and group C were 4-7 years old.SpO₂ during anesthesia and the anesthetic complications were observed.Results: SpO₂ was significantly higher in group B and C than in group A(P<0.01).Complications such as laryngospasm,tracheospasm and glossocoma were significantly fewer in group B and C than in group A(P<0.05),while the differences between group B and group C were not significant(P>0.05).Conclusions: The advantageous anesthetic time for cleft palate taxis is during 2-3 years of age.