纱布吸痰法在小儿尿道下裂手术的应用研究
纱布；麻醉；尿道下裂；骶管；手术,,纱布；麻醉；尿道下裂；骶管；手术,1资料与方法,2结果,3讨论,【参考文献】
【摘要】 目的 比较纱布吸痰法和常规吸痰管吸痰法在小儿尿道下裂手术的应用效果，寻找一种小儿手术麻醉术中简单、实用、安全的呼吸道管理方法。方法 580例婴幼儿尿道下裂手术患儿随机分成两组：手术中在患者口角放一块纱布，头偏向一侧，并适当抬高对侧肩部，以利口腔内分泌物引流(C组)；另一组摆同样的体位，在有痰鸣音时用负压吸痰器吸痰(S组)。结果 C组患儿手术中生命体征平稳，麻醉用药少，并发症少(P<0.05)。结论 纱布吸痰法在小儿尿道下裂手术中的呼吸道管理效果理想，值得临床推广。【关键词】 纱布；麻醉；尿道下裂；骶管；手术
Exploratory development of the method in aspiration sputum by carbasus in the patients of hypospadia’ operation
ZHOU Zhiming,YANG Xiaoyan,LI Yong,et al.The Third Affiliated Xiangya Hospital of Central South University，Changsha 410013，China
【Abstract】 Objective To contrast the effectiveness with sputum aspirator being used carbasus or common practice of sputum aspirator in pedohypospadia operation,we can search a safe,simple and practical procedure to the respiratory passage of the pedooperations in anaesthesia.Methods Five hundreds and eighty infants underwent hypospadia operation were fractionated into two groups randomly:we put a carbasus in the patients’ buccal cavity with the head lateral aside and raised the shoulder in the opposite side properly (C group).The others were used sputum aspirator when the patients had sputum in cavum oris putting the same body position(S group).Results The C group patients in the operation had more equability vital sign and less complication(P<0.05).Conclusion We may presumed above the research that the effectivenesses are ideal with carbasus sputum aspirators being used in the pedo-hypospadia operations and it is worth to be generalized. ......
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