七氟醚吸入麻醉辅助低龄儿童舌系带矫治术

›› 2016, Vol. 36 ›› Issue (1): 54-56.

七氟醚吸入麻醉辅助低龄儿童舌系带矫治术

孙琪殷,陈柯,宋兴荣,王洁,吴洁纯,王洪涛

广州市妇女儿童医疗中心

收稿日期:2014-10-15 修回日期:2014-11-23 出版日期:2016-01-28 发布日期:2016-01-08
通讯作者: 陈柯 E-mail:dentchenke@sohu.com
基金资助:
2013年度广州市医药卫生科技项目

Frenuloplasty under sevoflurane inhalation anesthesia in young children

Received:2014-10-15 Revised:2014-11-23 Online:2016-01-28 Published:2016-01-08

摘要/Abstract

摘要： 目的　回顾性分析七氟醚吸入麻醉辅助低龄儿童舌系带矫治术中的应用效果，探讨其临床应用特点和安全性。方法　选取2013年1月至2014年4月在广州市妇女儿童医疗中心口腔科就诊、符合手术适应证的1~4周岁儿童共187例，完善术前准备，术中以吸入七氟醚+氧气进行麻醉，完成舌系带矫治术，术中连续检测脉搏、呼吸频率、心电图、血压及末梢血氧饱和度，术后留院观察，直至Aldrete评分≥9分方可离院，术后进行随访，资料统计分析。结果　187例患儿均在理想的麻醉状态下完成手术，术中各项生命体征平稳，麻醉使患儿睫毛反射消失时间为30~90 s，平均时间为（48±9.3）s，手术时间为10~20 min，平均时间为（17.2±5.7）min，术后5~15 min苏醒，平均复苏时间为（7.4±8.3）min。复苏期52例患儿出现烦躁哭闹，占手术患儿的27.81%，2例（1.1%）患儿术后出现一过性发热症状，术中、术后均未发生恶心、呕吐等不良反应。术后随访未发现麻醉及手术不良并发症。结论　应用七氟醚吸入麻醉辅助低龄儿童舌系带矫治术，起效快、复苏快，不良反应少，临床效果显著。

关键词: 七氟醚, 全身麻醉, 舌系带过短, 舌系带矫治术

Abstract: Objective To retrospectively analyze the effects of sevoflurane inhalation anesthesia in frenuloplasty in young children, and to discuss its characteristics and safety in clinic. Methods 187 patients at the age of 1-4 years who underwent frenuloplasty under sevoflurane inhalation anesthesia in outpatient department from January 2013 to April 2014 were included in this study. The heart rate, blood pressure, breathing rate, electrocardiogram and oxygen saturation were continuously monitored during operations. All the patients were observed in hospital and not allowed to leave until the Aldrete score reached at least 9. All the cases were reviewed and their data were statistically analyzed. Results All the patients finished operations successfully without struggling or crying and the vital signs were stable during operations. The average anesthesia work time was 48±9.3 seconds, the average operation time was 17.2±5.7 minutes, and the average recovery time was 7.4±8.3 minutes. During recovery, 52 (27.81%) patients were agitated and cried, 2 (1.1%) experienced transient fever, but no complication such as nausea or emesis happened in any patients during and after operations. Also, no complications of anesthesia or operations were detected in the follow-up. Conclusion It is safe and efficient to apply sevoflurane inhalation anesthesia to frenuloplasty in young children.

Key words: Sevoflurance, Anesthesia, Ankyloglossia, Frenuloplasty.

中图分类号:

　R614.21

孙琪殷陈柯宋兴荣王洁吴洁纯王洪涛. 七氟醚吸入麻醉辅助低龄儿童舌系带矫治术[J]. , 2016, 36(1): 54-56.

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