■评估七氟醚全麻与喉罩气道在拔牙中的作用。
■回顾性分析2022年6月至2023年4月在我院麻醉科进行拔牙手术的88例患儿,其中采用传统麻醉的44例患儿为对照组,采用喉罩通气七氟醚全身麻醉的44例患儿为观察组。分析两组患者的麻醉情况和手术记录,包括术中生命体征,麻醉诱导时间,自主呼吸恢复时间,手术后24小时内的首次喂养时间,术后疼痛评分,不良反应发生率,拉姆齐得分和苏醒激动,并收集了其他指标,并进行统计分析。
■观察组恢复时间为7.88±4.95min,自主呼吸恢复时间为10.58±3.64min,显著短于对照组的15.23±5.12min和14.41±3.56min(P<0.001)。两组在麻醉诱导方面无明显差异。术后24h内的手术时间和首次进食时间(P>0.05)。两组患者术后疼痛评分差异无统计学意义(P>0.05)。观察组不良反应总发生率为6.82%,对照组为22.73%(χ²=4.423,P=0.035)。此外,观察组Ramsay评分较对照组显著提高(P<0.05),苏醒期躁动发生率也明显降低(P<0.05)。
■喉罩气道七氟醚麻醉可明显加快儿童拔牙后的恢复过程,减少不良反应的发生,提供比传统麻醉更安全,更有效的选择。
UNASSIGNED: To evaluate the effect of sevoflurane general anesthesia with laryngeal mask airway in the extraction of teeth.
UNASSIGNED: A retrospective analysis was performed on 88 children who underwent extraction of teeth in the Department of Anesthesiology of our hospital from June 2022 to April 2023, including 44 patients who received traditional anesthesia as the control group and 44 patients who received laryngeal mask airway sevoflurane general anesthesia as the observation group. Anesthesia and operation records of patients in the two groups were analyzed, including intraoperative vital signs, anesthesia induction time, recovery time of spontaneous breathing, first feeding time within 24 h after surgery, postoperative pain score, incidence of adverse reactions, Ramsay score and wake agitation, and other indicators were collected, and statistical analysis was conducted.
UNASSIGNED: The recovery time of the observation group was 7.88 ± 4.95 min, and the recovery time of spontaneous respiration was 10.58 ± 3.64 min, which were significantly shorter than 15.23 ± 5.12 min and 14.41 ± 3.56 min of the control group (P < 0.001). There were no significant differences between the two groups in anesthesia induction, operation duration and first feeding time within 24 h after operation (P > 0.05). There was no significant difference in postoperative pain scores between the two groups (P > 0.05). The overall incidence of adverse reactions was 6.82% in the observation group compared with 22.73% in the control group (χ² = 4.423, P = 0.035). In addition, the Ramsay score of the observation group was significantly improved compared with the control group (P < 0.05), and the incidence of agitation during the recovery period was also significantly decreased (P < 0.05).
UNASSIGNED: Laryngeal mask airway sevoflurane anesthesia can significantly accelerate the recovery process of children after extraction of teeth, and reduce the occurrence of adverse reactions, providing a safer and more efficient choice than traditional anesthesia.