异丙酚静脉麻醉在儿童舌系带矫治术中的应用

›› 2014, Vol. 34 ›› Issue (10): 765-767.

异丙酚静脉麻醉在儿童舌系带矫治术中的应用

林应良¹,李朝刚²,康胜江²,林方梁²,张桂梅²,李鹏³

1. 自贡第一人民医院
2. 自贡市第一人民医院口腔科
3. 四川大学华西口腔医学院

收稿日期:2013-07-15 修回日期:2013-08-29 出版日期:2014-10-28 发布日期:2014-10-15
通讯作者: 李鹏 E-mail:lipengfly11@163.com

The application of Propofol intravenous anesthesia in children′s ankyloglossia

Received:2013-07-15 Revised:2013-08-29 Online:2014-10-28 Published:2014-10-15

摘要/Abstract

摘要： 目的探讨异丙酚联合氯氨酮静脉麻醉在儿童舌系带过短矫治术中的安全性和有效性。方法 39例肥厚型舌系带过短的儿童患者，由麻醉专科医师在非气管插管状态下，给予异丙酚加氯氨酮静脉麻醉，再由专科医师行舌系带延长术。术中给予输液、吸氧，监测呼吸、血压、脉搏、血氧饱合度，记录手术时间、苏醒时间、术中术后不良反应和手术效果。结果所有患儿术中生命体征平稳，均未行气管插管并顺利完成手术。手术时间平均约3 min，从麻醉开始到患儿苏醒时间平均约20 min。术中3例患儿出现SpO2过低，给予面罩吸氧后缓解，术后12例出现不同程度的恶心呕吐、喉痉挛症状，观察一段时间后自行缓解消失。结论异丙酚复合氯氨酮静脉麻醉可以安全、有效的用于儿童舌系带矫治术，值得临床推广应用。

关键词: 舌系带过短, 静脉麻醉, 异丙酚

Abstract: Objective To seek a safe and convenient anesthesia method for the surgery of children ankyloglossia,and to explore the effectiveness of the intravenous anesthesia: propofol combined with ketamine.Methods 39 pediatric patients with hypertrophic ankyloglossia were included in this study.After compound anesthetic: propofol with ketamine was given,the plastic surgery was carried out without endotracheal intubation.During the surgery,the respiration,blood pressure,pulse and oxyhemoglobin saturation(SpO2) were monitored.The operation time,intraoperative and postoperative adverse reaction were recorded.Results All cases sustained the anesthesia and the surgery,with good vital signs during surgery.The average operation time was 3 mins,and the average anesthesia time was 20 mins.Low SpO2 appeared in 3 cases during surgery.Postoperative symptoms of nausea,vomiting and laryngospasm with varying degrees,were observed in 12 cases.Conclusions The intravenous anesthesia: propofol combined with ketamine,is a safe and effective method for children ankyloglossia,thus it is worth clinical popularization and application.

Key words: ankyloglossia, intravenous anesthesia, propofol

中图分类号:

R971.2

林应良李朝刚康胜江林方梁张桂梅李鹏. 异丙酚静脉麻醉在儿童舌系带矫治术中的应用[J]. 口腔医学, 2014, 34(10): 765-767.

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