喉罩麻醉和气管插管麻醉在小儿麻醉中的麻醉效果对比分析

目的:探讨和分析喉罩麻醉和气管插管麻醉在小儿麻醉中的麻醉效果。方法:选取行手术的患儿78例,将其随机分为对照组和观察组,每组39例。对照组行传统气管插管麻醉,观察组行喉罩麻醉,比较两组患儿的麻醉效果。结果:观察组患儿麻醉总有效率97.4%,明显优于对照组患儿麻醉总有效率76.9%,组间比较差异有统计学意义(P<0.05)。观察组患儿拔管时间和清醒时间均短于对照组,组间比较差异有统计学意义(P<0.05)。观察组患儿并发症明显少于对照组患儿,组间比较差异有统计学意义(P<0.05)。结论:在小儿麻醉中采用喉罩麻醉能够有效提高麻醉效果,且缩短拔管时间和清醒时间,减少并发症,值得临床推广及应用。     

喉罩麻醉和气管插管麻醉在小儿麻醉中的效果分析

目的:研究分析喉罩麻醉和气管插管麻醉在小儿麻醉中的效果。方法:选取98例手术需进行麻醉的患儿作为研究对象,随机分为对照组和研究组,每组49例患儿。对照组采取气管插管麻醉进行干预,研究组采取喉罩麻醉进行干预。观察指标为两组患儿的临床麻醉效果。结果:采取喉罩麻醉的研究组在患儿临床麻醉效果的比较上明显优于对照组,差异有统计学意义(P<0.05)。结论:小儿麻醉是儿科手术中最常见的操作,小儿身体机能尚不完善,需要科学的麻醉干预。采取喉罩麻醉能够显著提升麻醉效果,减少不良反应,值得临床推广应用。     

喉罩麻醉和气管插管麻醉在小儿麻醉中的麻醉效果对比研究

目的 探讨研究喉罩麻醉和气管插管麻醉在小儿麻醉中的麻醉效果对比.方法 随机抽选于本院进行短小手术的86例患儿作为研究对象,将其平均分成观察组和对照组.其中,对照组给予气管插管麻醉,观察组给予喉罩麻醉,比较两组患儿的临床效果.结果 观察组患儿麻醉总有效率为95.35%,较对照组的79.07%高;观察组患儿并发症发生率为11.65%,较对照组的34.95%低;观察组患儿拔管时间与清醒时间均优于对照组对应值,且差异有统计学意义(P<0.05).结论 针对手术患儿采用喉罩麻醉的麻醉效率较气管插管麻醉高,不仅有效减少患儿并发症发生次数,还有利于缩减其拔管时间及清醒时间,加快患儿健康恢复进度,具有较好的临床价值,值得推广.     

气管插管麻醉与喉罩麻醉在婴儿麻醉中的应用

目的:探讨气管插管麻醉与喉罩麻醉在婴儿麻醉中的应用并分析喉罩麻醉的优点。方法:回顾性分析收治的需要进行手术的患儿60例,随机分为对照组与研究组各30例,其中对照组采用气管插管麻醉,研究组则采用喉罩麻醉,对比两组患儿在麻醉控制点的血液流变学(HR)、平均动脉压(MAP)、导管拔管以及清醒时间等方面的差异。结果:相对于对照组而言,研究组患儿麻醉监测点血流动力学较为平稳并且拔管时间、清醒时间更短,差异有统计学意义(P<0.05)。结论:喉罩麻醉有着操作简便、对患儿的气道损伤小以及苏醒时间短等优点,能够满足婴儿手术的要求,因此值得在临床治疗中推广应用。     

全身麻醉联合硬膜外麻醉用于胃癌根治术麻醉效果分析

目的:对全身麻醉联合硬膜外麻醉用于胃癌根治术麻醉效果进行分析。方法:选择胃癌根治手术患者102例,随机分为两组,单纯组患者50例,进行单纯全身麻醉下手术治疗;联合组患者52例,在全身麻醉联合硬膜外麻醉下进行胃癌根治手术治疗;对比两组患者的麻醉效果。结果:联合组患者全身麻醉用药总量、术后拔管时间、意识完全恢复的时间显著优于单纯组患者,差异具有统计学意义(P<0.05)。两组患者均手术成功,无严重不良反应发生。结论:胃癌根治手术患者应用全身麻醉联合硬膜外进行麻醉,可有效地减少全身麻醉用药总量,缩短术后拔管时间,缩短术后意识完全恢复时间,无严重不良反应发生,为胃癌根治手术较为理想的麻醉方法。     

对比分析胃镜检查的麻醉与非麻醉

目的对比胃镜检查应用麻醉与非麻醉的临床效果。方法将该院从2011年11月—2012年2月共进行胃镜检查的200例患者,将其随机平均分为A组和B组,A组的100例患者进行麻醉,B组的100例患者不进行麻醉。观察两种患者在检查前中后的心率、舒张压、收缩压、呼吸等情况。结果 A组患者在检查中的心率、舒张压、收缩压、呼吸均有明显的下降,差异有统计学意义（P〈0.05）;B组的患者在检查前中后的心理、血压、呼吸没有明显的变化,差异无统计学意义（P〉0.05）。结论在胃镜检查中,要综合患者的意见、心肺功能、经济能力、做麻醉下的胃镜更舒适、安全（因为有麻醉医师）,但有麻醉风险,临床上可视情况而选择。     

硬膜外麻醉复合全身麻醉在直肠癌根治术中的麻醉效果分析

目的：：分析硬膜外麻醉复合全身麻醉在直肠癌根治术中的麻醉效果。方法：将84例直肠癌根治术患者按照麻醉方式分为观察组和对照组各42例,分别采取硬膜外麻醉复合全身麻醉、气管插管麻醉,对比两组患者麻醉效果。结果：观察组血流动力学较对照组稳定,拔管时间、睁眼时间短于对照组,并发症发生率7.1％低于对照组并发症发生率21.4％,P<0.05。结论：在直肠癌根治术中采取硬膜外麻醉复合全身麻醉,麻醉效果显著。     

喉罩麻醉与气管插管麻醉在婴儿麻醉中的比较研究

目的:研究婴儿采用喉罩麻醉与气管插管麻醉的临床麻醉效果。方法:将我院儿科收治的70例患儿按入院顺序随机划分成行喉罩麻醉的实验组与行气管插麻醉的对照组,比较两组患儿的临床麻醉效果。结果:实验组患儿的临床麻醉效果、拔管时间与清醒时间均明显优于对照组,比较差异显著有统计学意义(P0.05)。结论:婴儿实施喉罩麻醉,效果确切,值得在临床上推广使用。     

重视麻醉安全防范麻醉风险

麻醉可为病人消除疼痛,为手术操作提供条件,保障手术安全。但麻醉期间病人生理功能的改变、麻醉处置的困难、药物的相互作用、手术的不良刺激等可导致麻醉意外的发生。麻醉相关死亡,目前在发达国家约为1：10000,我国上海地区(1984-1988年)为1．0：10000～1．5：10000,西安(2001年)为1．2：10000,其他地区尚无相关统计。     

探讨腰麻-硬膜外联合阻滞麻醉与单纯硬膜外麻醉的临床麻醉效果

目的 评价腰麻-硬膜外联合阻滞麻醉与单纯硬膜外麻醉的临床麻醉效果.方法 方便选取2016年1月—2017年2月,重庆市武警重庆市消防总队医院普外科、骨外科等科室收治的下肢手术患者90例,黑箱摸球分组,42例纳入硬膜外组,48例纳入腰硬组.对比血压变化差值、术后腰痛VAS水平、不良事件发生情况.结果 腰硬组手术期间HR、SBP、DBP峰值与谷值差值分别为(7.54±1.65)次/min、(17.43±5.58)mmHg、(13.65±5.16)mmHg低于硬膜外组(11.47±5.51)次/min、(23.52±6.33)mmHg、(18.26±5.46)mmHg,腰硬组术后腰痛VAS评分(1.3±0.5)分、术中呼吸循环紊乱发生率22.92%低于硬膜外组(2.5±1.0)分、57.14%,差异有统计学意义(P<0.05).结论 下肢手术更适合腰麻-硬膜外联合阻滞麻醉.     

Anesthesia

Effects of DO2-directed hemodynamic management on pulmonary function in to course of anaesthesia of liver transplantation; Rectal midazolam, atropine and ketamine as premedication for infants and young children; Supraclavicular subclavian venous catheterization through the insertion point medial to the middle of clavicle in infants; Effect of acute normovolemic hemodilution on context-sensitive half-time for propofol given by target controlled infusion during hip joint replacement; Effect of acute hypervolemic hemodilution on pharmacokinetics of propofol in patients undergoing total hip replacement; Influence of leukocyte filtration on systemic inflammatory response to cardiopulmonary bypass in dogs;Effect of urapidil on L-type calcium current in rat ventricular myocytes; Changes in systemic and pulmonary hemodynamics in patients with liver cirrhosis and portopulmonary hypertension during liver transplantation;……     

Anesthesia

Effect of propofol on the release of glutamate γ-amino-butyric acid in hippocampus in rats during recovery from paradoxical steep deprivation;The effect-site concentration of midazolam achninistered by TCI and BIS values for conscious sedation in patients of differmt ages;Effects of ephedrine pretreatment and rocuronium priming on the rocuronium-induced neuromuscular blockade;Effects of different doses of propofol on cerebral venous blood S-100 protein and neuron-specific eno- lase in patients undergoing open heart surgery under CPB at mild hypothermia;Effect of different doses of ambroxol in car- diopulmonary bypass induced lung injury in children     

Anesthesia

Protective effects of colquhounia root tablet against oleic acid induced acute lung injury in rats , Effect of ketamine on iNOS mRNA expression in spinal cord of mice in the development of morphine tolerance, Analgesic effect of intrathecal SB203580 in a rat model of neuropathic pain , Interleukin.lO gene therapy for neuropathic pain in a rat model of chronic constriction injury , Effects of epidural capsaicin on pain thresh. old, neurological function and spinal neurons in rabbits, Effects of different concentrations of heparin in the preservation solution on blood coagulation after reperfusion in patients undergoing orthotopie liver transplantation, Influence of lidocaine on systemic inflammatory response to cardiopulmonary bypass in patients undergoing coronary artery bypass grafting , Effect of midazolam pretreatment on neurotoxicity of ropivacaine in rats , Anesthetic efficacy of epidural ropivaeaine mixed with different doses of sufentanil for hysterectomy     

Anesthesia

<正>209016 Effects of flurbiprofen on cellular immune function during patient-controlled intravenous analgesia with fentanyl in patients after esophagectomy/Feng Yanping(冯艳平,Dept Anesthesiol,Cancer Hosp He’nan Province,Zhengzhou 450003)…∥Chin J Anesthesiol. -2009,29(9). -773～774 Objective To investigate the effects of flurbiprofen on cellular immune function during patient-controlled in- travenous analgesia(PCIA) with fentanyl in the patients after esophagectomy.     

Anesthesia

<正>209163 Changes in plasma colloid osmotic pressure during off-pump orthotopic liver transplantation/Zhang Xiaomei(Dept Anesthesiol,Tianjin 1st Centre Hosp,Tianjian 300192)…∥Chin J Anesthesiol.-2009,29(2).-151~153Objective To investigate the changes in plasma colloid osmotic pressure(COP)in patients undergoing off-pump orthotopic liver transplantation(OLT).Methods Thirty ASA Ⅱ-Ⅳ patients(liver function Child-Pugh grade B or C)aged 35-60 yr undergoing off-pump OLT were studied.Anesthesia was induced with midazolam,sufentanil,propofol and vecuronium and maintained with propofol infusion,isoflurane inhalation and intermittent iv boluses of sufentanil and vecuronium.Human albumin and fresh frozen plasma were infused during operation.Hemoglobin was maintained at 70-80 and 80-100 g/L during preanhepatic and anhepatic phase respectively.Urine output was maintained at 1,0.5 and 1-2 ml·kg-1·min-1 while CVP at 4-7,0-3 and 4-10 mm Hg respectively during preanhepatic,anhepatic and neo-hepatic phase.Blood samples were taken immediately before intravenous line was established (T0,baseline),at skin incision(T1),60 min of preanhepatic phase(T2)beginning of anhepatic phase(T3),30 min of anhepatic phase (T4),beginning of neohepatic phase(T5),30 min of neohepatic phase(T6) and the end of operation(T7)from internal jugular vein for determination of plasma COP,crystalloid osmotic pressure and serum albumin concentration.     

Anesthesia

Preventive effects of remifentanil on sympathetic activation induced by desflurane,Effects of different doses of ketamine on cognitive function in aged rats,Efficacy of sufentanil combined with propofol for video-assisted endoscopic transthoracic sympathectomy,Accuracy of target-controlled infusion of sufentanil in clinical anesthesia.     

Anesthesia

Anesthetic choice for patients undergoing simuitaneous pancreas-kidney transplantation,Effect of morphine pretrealment on expression of substance P and calcitonin gene related peptide in myocardium following acute myocardial ischemia in rats,Effects of lidocaine and ropivacaine on con- tractility of isolated pregnarlt rat myometrium,Effect of acute hypervolemic hemodilution with different colloids on GP Ⅱ b/Ⅲ a and P-selectin expression in patients with colon cancer during perioperative period,Effects of propofol on extracellular signal-regulated kinase 1/2 phosphorylation in mouse hippocampal slices[第一段]     

Anesthesia

Cerebral protective effect of nicorandil premedication in patients undergoing coronary artery bypass grafting with cardiopuimonary bypass;Protective effects of remifentanil preconditioning on myocardium against ischemia-reperfusion injury in rats; Effects of ultrarapid opiate detoxification during general anesthesia on plasma morphine concentration and brain β-endorphin content in rats addicted to morphine;The effect of propofol on platelet aggregation and blood coagulation in patients undergoing upper ab- dominal surgery/Tao Guocai ; Protective effects of pretreatment with rosigli tazone on the lungs against endotoxin-induced acute injm＇y in rats; ……