静吸复合全身麻醉在小儿阻塞性睡眠呼吸暂停综合征中的应用效果OA
Application Effect of Intravenous-inhalational Combined General Anesthesia in Pediatric Obstructive Sleep Apnea Syndrome
目的:探讨静吸复合全身麻醉对小儿阻塞性睡眠呼吸暂停综合征患儿的实施效果.方法:选取2024年12月至2025年12月安徽省儿童医院收治的小儿阻塞性睡眠呼吸暂停综合征患儿70例作为研究对象,按照随机数字表法随机分为对照组和观察组,每组35例.对照组采用静脉全身麻醉,观察组实施静吸复合全身麻醉.比较指标包括术中不同时间点的生命体征、麻醉效果相关时间、麻醉并发症发生率以及苏醒期躁动情况.结果:2组患儿术前心率、平均动脉压比较,差异无统计学意义(P>0.05),术中手术切除时及手术结束时,观察组心率、平均动脉压更高(P<0.05),观察组麻醉效果相关时间均更短(P<0.05),观察组的麻醉相关并发症总发生率更低(P<0.05),观察组苏醒期总躁动发生率更低(P<0.05).结论:小儿阻塞性睡眠呼吸暂停综合征患儿术中实施静吸复合全身麻醉可以有效维持术中生命体征稳定,缩短麻醉恢复时间,降低并发症发生率及苏醒期躁动风险.
Objective:To explore the effect of intravenous-inhalational combined general anesthesia on children with obstructive sleep apnea syndrome.Methods:A total of 70 children with obstructive sleep apnea syndrome admitted to Anhui Provincial Chil-dren's Hospital between December 2024 and December 2025 were selected as the research subjects.They were randomly divided into a control group and an observation group according to a random number table method,with 35 cases in each group.The con-trol group received intravenous general anesthesia,while the observation group received intravenous-inhalational combined general anesthesia.Comparative indicators included vital signs at different time points during the operation,time related to the anesthesia effect,the incidence of anesthesia complications,and agitation during the emergence period.Results:There was no statistically sig-nificant difference in the preoperative heart rate and mean arterial pressure between the two groups of children(P>0.05).During surgical resection and at the end of surgery,the heart rate and mean arterial pressure in the observation group were higher than those in the control group(P<0.05).The anesthesia effect-related time was shorter in the observation group than that in the con-trol group(P<0.05).The total incidence rate of anesthesia-related complications in the observation group was lower than that in the control group(P<0.05).The observation group had a lower incidence of total agitation during the emergence period than that in the control group(P<0.05).Conclusion:Intravenous-inhalational combined general anesthesia during surgery for children with obstructive sleep apnea syndrome can effectively maintain the stability of vital signs during surgery,shorten the anesthesia re-covery time,and reduce the incidence of complications and the risk of agitation during the emergence period.
王悠笛;蔡杨
安徽省儿童医院,合肥,230000安徽省儿童医院,合肥,230000
医药卫生
阻塞性睡眠呼吸暂停综合征儿童静吸复合全身麻醉静脉麻醉心率平均动脉压麻醉效果并发症苏醒期躁动
Obstructive sleep apnea syndromeChildrenIntravenous-inhalational combined general anesthesiaIntravenous an-esthesiaHeart rateMean arterial pressureAnesthesia effectComplicationsEmergence agitation
《世界睡眠医学杂志》 2026 (3)
482-484,489,4
安徽医科大学校科研基金,临床科学基金项目(2022xkj244).
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