双侧上唇改良梯形黏膜肌皮瓣术中应用罗库溴铵对唇腭裂患儿修复效果及术后肌松残余发生率的影响

doi:10.3969/j.issn.1671-7171.2019.06.004

Abstract
Figure/Table
References (15)
Related Citation (15)

Download: PDF (0 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract 【Objective】To investigate the effect of rocuronium on the repair of cleft lip and palate and the incidence of residual muscle relaxation in bilateral upper lip modified trapezoidal mucosal myocutaneous flaps.【Methods】Eighty children with cleft lip and palate were selected from January 2015 to January 2019. They were randomly divided into observation group and control group with 40 cases in each group. The control group was treated with bilateral upper lip modified trapezoidal mucosal myocutaneous flaps, while the observation group was treated with rocuronium on the basis of the control group. The treatment effect, onset time, convulsion recovery time, recovery index and parents'satisfaction were compared between the two groups.【Results】There was no significant difference in the therapeutic effect between the two groups (P>0.05); the onset time of anesthesia, convulsion recovery time and recovery index in the observation group were significantly lower than those in the control group; the satisfaction degree of parents was significantly higher than that in the control group, and the difference was statistically significant (P < 0.05).【Conclusion】The application of rocuronium bromide in bilateral upper lip modified trapezoidal mucosal myocutaneous flaps is effective in repairing cleft lip and palate in children. The incidence of residual muscle relaxation after operation is low and parents'satisfaction is high.

Key words： Cleft Lip/SU Child Reconstructive Surgical Procedures

Received: 04 April 2019

PACS:

R782.21

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors

Cite this article:

URL:

http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2019.06.004 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2019/V36/I6/1050

[1] 潘孟雄,毛峻武,马韬,等.面动脉黏膜肌皮瓣修复舌及口底肿瘤切除后缺损疗效观察[J].中国修复重建外科杂志,2017,31(4):461-464.
[2] 张伟,刘宁,陈方文,等.改良胸大肌肌皮瓣在复发性头颈癌挽救性手术缺损重建中的应用[J].中国口腔颌面外科杂志,2017,15(4):357-360.
[3] 康定鑫, 饶裕泉, 姬斌, 等. 七氟烷和地氟烷对患儿术中罗库溴铵药效动力学的影响[J].中华医学杂志, 2017, 97(6):429.
[4] 吕杰. 罗库溴铵与苯磺顺阿曲库铵麻醉对腹部手术患儿肌松效果及血流动力学的影响[J].医学理论与实践, 2017,4(14):2109-2110.
[5] 刘洁,余琼,王英伟.椎管内巨大肿瘤切除术中突发硬膜下血肿麻醉处理一例[J].临床麻醉学杂志,2017,33(5):519.
[6] 王暖,魏金升.罗库溴铵与顺式阿曲库铵在全麻气管插管中的临床应用价值比较[J].世界最新医学信息文摘,2017,17(53):70-72.
[7] 冯冰冰. 改良皮肤入路肌皮瓣法睑袋整复术的效果观察[J].海南医学, 2014,4(17):2592-2594.
[8] 潘颖丹, 刘艺琴, 肖立伟. 替牙期唇腭裂患儿的正畸治疗[J].国际口腔医学杂志, 2017, 44(4):380-384.
[9] 娄慧全,王卫红,许彪,等.单段腓骨肌皮瓣在修复Ⅱ型上颌骨缺损中的应用[J].国际口腔医学杂志,2017,44(5):576-579.
[10] 艾清秀, 张自雄, 向华. 邻近微型皮瓣在头面部皮肤缺损修复中的运用[J].临床耳鼻咽喉头颈外科杂志,2017,31(14):1100-1102.
[11] Santamaria MP , Neves FLDS , Silveira CA,et al.Connective tissue graft and tunnel or trapezoidal flap for the treatment of single maxillary gingival recessions: a randomized clinical trial[J].J Clin Periodontol,2017,6(5):174-177.
[12] Henriques PG , Okajima LS , Sérgio Siqueira. Surgical reconstruction of the interdental papilla 2 case reports [J].Gen Dent,2018, 37(5):673.
[13] Mardelli PG , Mardelli ME , Bakkour Z . A novel hinged scleral patch graft for the repair of overfiltration and bleb leaks[J].J Glaucoma,2018,4(3):127-129.
[14] Leslie E, Liu H, Carlson J,et al.A Genome-wide association study of nonsyndromic cleft palate identifies an etiologic missense variant in GRHL3[J].Am J Hum Genet, 2016, 98(4):744-754.
[15] 杨汉林, 何希凡, 刘丰,等. 上唇改良梯形黏膜肌皮瓣修复双侧唇裂的临床研究[J].医学临床研究, 2016, 33(11):2104-2106.