Choose the method of anesthetization for childhood obstructive sleep apnea hypopnea syndrome
10.3760/cma.j.issn.1008-6706.2010.12.016
- VernacularTitle:儿童阻塞性睡眠呼吸暂停低通气综合征麻醉方式的选择
- Author:
Zongjin DUAN
;
Ming ZHU
- Publication Type:Journal Article
- Keywords:
Anesthesia;
Sleep apnea syndrome;
Children
- From:
Chinese Journal of Primary Medicine and Pharmacy
2010;17(12):1617-1618
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss how to choose the method of anesthetization for childhood obstructive sleep apnea hypopnea syndrome(OSAHS).Methods 98 children with tonsillar and adenoidal hypertrophy were seleted,and were randomly divided into two groups.Tonsillectomy and adenoidectomy were performed for the group with local infiltration anesthesia,while Tonsil dissection and endoscopic-assisted adenoidectomy through nose were for the group with intravenous general anesthesia.Then blood loss,operation time,intake time,operation damage,psychological trau-ma,hospitalization fares and operative efficacy were compared.Results The group with general anesthesia lost more blood,underwent longer operations with higher cost;the group with local anesthesia had more operation damage,grea-ter psyhologieal trauma and sometimes general anesthesia was necessary for the children who didn't cooperate.But these two methods of anesthetization almost had the same operative efficacy,and the symptoms such as snoring,oral breathing and suffocating were significantly improved after surgery.Condusion Every method had own advantages and disadvantages.Local anesthesia was as effective as general anesthesia in treating childhood OSAHS.but the anes-thetization choice should vary with the situations.
