Journal of Prevention and Treatment for Stomatological Diseases ›› 2016, Vol. 24 ›› Issue (9): 541-544.doi: 10.12016/j.issn.2096-1456.2016.08.009

• Cinical Study • Previous Articles     Next Articles

Contrast of three kinds of anesthesia method in ankylotomy

LI Wei1(),LIU Qing-zhi2,HE Yong-chuan1   

  1. 1. Department of Stomatology, Panyu District Hexian Memorial Hospital, Guangzhou 511400, China
    2. Panyu District Hualong Hospital, Guangzhou 511434, China
  • Received:2015-07-06 Revised:2015-08-25 Online:2016-09-20 Published:2016-08-20
  • Contact: Wei LI E-mail:liqiqi007@163.com

Abstract:

Objective To compare the effects of three kinds of anesthesia method in ankylotomy.Methods A total of 176 children of ankyloglossia were randomly divided into Ketamine basal intravenous anesthesia group (group A), intubation anesthesia group (group B), and sevoflurane inhalation anesthesia group (group C). The induction time, recovery time, HR, RR, SpO2, the degree of jaw joints relaxation and adverse reactions was recorded.Results There was no statistical significant difference in HR, RR and SPO2 between the three groups; The induction time of group A was significantly longer than group B and C. Recovery time of group C was significantly shorter than group A and B. Group A had higher incidence of respiratory depression and laryngospasm and had lower incidence of jaw joints relaxation than other two groups. The incidence of nausea and vomiting was significant lower in group C than in other two groups, but the incidence of agitation during recovery was significant higher than group B.Conclusion Sevoflurane inhalation anesthesia by mask in ankylotomy is safe and effective for the ankyloglossia children, but need to prevent the incidence of agitation during recovery.

Key words: Sevoflurance, Mask, Inhalation anesthesia, Ankylotomy, Agitation

CLC Number: 

  • R782.05 +4

Table 1

Comparison of the general information among the 3 groups of children"

组别 A组(n = 55) B组(n = 51) C组(n = 70) P
性别(例)

26 27 39 -
29 24 31 -
年龄(岁) 2.30 ± 0.65 2.41 ± 0.72 2.74 ± 0.91 > 0.05
体重(Kg) 16.22 ± 0.52 14.65 ± 0.91 16.83 ± 0.75 > 0.05
手术时间(min) 5.43 ± 1.55 5.81 ± 1.36 5.28 ± 1.15 > 0.05

Table 2

Comparison of induction time and awake time among the 3 anesthesia groups"

组别 A组(n = 55) B组(n = 51) C组(n = 70) P
诱导时间( min) 10.41 ± 3.72 3.55 ± 0.97 1.26 ± 0.64 < 0.051)
清醒时间( min) 28.84 ± 4.33 25.46 ± 5.92 5.17 ± 0.98 < 0.052)

Table 3

Comparison of 4 indexes during the operation among the 3 anesthesia groups"

组别 A组(n = 55) B组(n = 51) C组(n = 70) P
心率(次/min) 132 ± 27 116 ± 11 128 ± 24 > 0.05
呼吸(次/min) 25 ± 4 20 ± 2 23 ± 3 > 0.05
氧饱和度(%) >95 >95 >95 > 0.05
下颌关节松弛度 47(85.45%) 51(100%) 70(100%) <0.011)

Table 4

Comparison of adverse reactions among the 3 anesthesia groups"

组别 A组(n = 55) B组(n = 51) C组(n = 70) P
恶心呕吐 7(12.7) 5(9.80) 1(1.43) <0.0011)
呛咳 3(5.45) 3(5.88) 1(1.43) > 0.051)
苏醒期躁动 2(3.64) 1(1.96) 6(8.57) > 0.052)
呼吸抑制 4(7.27) 0 0 <0.013)
喉肌痉挛 5(9.09) 1(1.96) 0 <0.013)
[1] Sikich N, Leman J . Development and psychometric evaluation of the pediatric anesthesia emergence delirium scale[J]. Anesthesiology, 2004,100(5):1138-1145.
doi: 10.1097/00000542-200405000-00015
[2] 乔静 . 婴儿期舌系带矫形术并发症及其矫形术的最佳时间[J]. 长春中医药大学学报, 2010,26(3):424.
[3] Tsunemi T . Postoperative progression of pulmonary metastasis in osteosarcoma[J]. Clin Orthop Relat Res, 2003,407(1):159-166.
doi: 10.1097/00003086-200302000-00024
[4] Kuratani N, Oi Y . Greater incidence of emergence agitation in children after sevoflurane anesthesia as compared with halothane: a meta-analysis of randomized controlled trials[J]. Anesthesiology, 2008,109(2):225-232.
doi: 10.1097/ALN.0b013e31817f5c18
[5] 顾小鹏 . 观察分析喉罩麻醉和气管插管麻醉在婴儿麻醉中的临床效果[J]. 中国医药指南, 2014,17(12):292-293.
[6] Lee SY, Cheng SL, Ng SB , et al. Single-breath vital Capacity high concentration sevoflurane induction in children: with or without nitrousoxide[J]. Br J Anaesth, 2013,110(1):81-86.
doi: 10.1093/bja/aes319
[7] Liang P, Zhou C, Ni J , et al. Single-dose sufentanil or fentanyl reduces agitation after sevoflurane anesthesia in children undergoing ophthalmology surgery[J]. Pak J Med Sci, 2014,30(5):1059-1063.
[8] 史静, 高鸿, 安裕文 . 两种全身麻醉方法用于小儿气管异物取出术的比较[J]. 临床麻醉学杂志, 2012,28(4):384-385.
[9] 戚翔, 路红梅, 董振明 . 七氟醚脑保护作用的研究进展[J]. 现代中西医结合杂志, 2010,19(14):1808-18l0.
[10] 唐兢, 张旭, 谌晓妃 . 芬太尼滴鼻对患儿鼻罩吸入七氟醚麻醉苏醒期谵妄的影响[J]. 临床麻醉学杂志, 2015,31(2):131-133.
[11] 杨胜男, 刘秀莲 . 小儿七氟醚麻醉苏醒期间躁动的分析[J]. 医学信息, 2014,27(12):53.
[12] 张忠, 刘凤梅, 周峰 , 等. 不同浓度七氟醚对小儿全麻苏醒期躁动的影响[J]. 医学临床研究, 2011,28(7):1385-1387.
[13] 裴春明, 李天佐 . 不同药物预防七氟醚术后躁动的研究[J]. 临床麻醉学杂志, 2012,28(1):17-18.
[14] 季海音, 于威威, 薛杭 , 等. 异丙酚对小儿七氟醚全麻苏醒期躁动的预防作用[J]. 实用药物与临床, 2014,17(11):1393-1397.
[15] 范瑷霞 . 舒芬太尼用于短小手术患儿七氟醚麻醉恢复期躁动的效果观察[J]. 泰山医学院学报, 2015,36(3):318-319.
[16] 翁小玲, 谭丽明, 陈文平 , 等. 唇腭裂患儿麻醉苏醒期的手术室观察与护理对策[J]. 广东牙病防治, 2013,21(3):156-157.
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[2] LI Wei, LIU Qing-zhi, HE Yong-chuan. Contrast of three kinds of anesthesia method in ankylotomy [J]. Journal of Prevention and Treatment For Stomatological Diseases, 2016, 24(9): 541-544.
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