【摘要】　目的　 比較喉罩全麻與氣管插管全麻兩種麻醉方法在小兒側臥位短小手術中的優缺點。　方法　 2009年6月-2010年2月，將40例擇期行側臥位短小手術兒患，隨機分為喉罩全麻（L）組與氣管插管全麻（T）組，每組各20例。觀察患兒術中心率（HR）、平均動脈壓（MAP）、脈搏血氧飽和度（SpO2）、氣道峰壓（Pmax），惡心嘔吐、術后躁動等圍術期不良反應。　結果　 T組插管后及拔管后即刻HR、MAP均高于L組患兒（P lt;0.05）；SpO2、Pmax在兩組之間比較差異無統計學意義（P gt;0.05），T組患兒術后躁動發生率明顯高于L組（P lt;0.05）。　結論　 喉罩可以安全、有效地用于小兒側臥位短小手術麻醉，且操作簡便，插管期和拔管期心血管應激反應輕，術后躁動發生率低。
【Abstract】　Objective　 To compare the safety and efficacy of laryngeal mask airway (LMA) and tracheal tube in lateral general anesthetic operation on children.　Methods　 From June 2009 to February 2010, 40 children scheduled to undergo general anesthesia for minor surgical procedures in lateral position were randomly divided into the laryngeal mask airway group (group L) and the tracheal tube group (group T) with 20 in each. Heart rate (HR), mean arterial pressure (MAP), pulse oxygen saturation (SpO2), top airway pressure (Pmax) of the patients were observed. In addition, side effects such as nausea, vomiting, and emergence agitation were also recorded.　Results　 HR and MAP of patients in group T were significantly higher than those of patients in group L after intubation and after extubation (P lt;0.05). There was no difference in Pmax and SpO2 between the two groups (P gt;0.05). The incidence of emergence agitation in group T was significantly higher than that in group L.　Conclusions　 LMA intubation can provide the same safe and effective ventilation as tracheal intubation for children undergoing lateral general anesthetic operation. LMA is superior to tracheal intubation in insertion response, and the incidence of emergence agitation is lower.

引用本文： 李秀澤,李衛,夏氫. 喉罩全麻在小兒側臥位手術中的應用. 華西醫學, 2011, 26(3): 421-423. doi: 復制