组合式吸入麻醉诱导装置在患儿入手术室困难中的应用

发布时间：2018-03-26 15:19

本文选题：组合式吸入麻醉诱导装置　切入点：患儿　出处：《临床麻醉学杂志》2017年09期

【摘要】：目的探讨应用便携组合式吸入麻醉诱导装置进行七氟醚吸入麻醉在解决患儿入手术室困难中的可行性及安全性。方法选择100例择期短小手术患儿,随机分为两组,每组50例。A组采用新型的给药方式,在患儿进入手术室前通过便携组合式吸入麻醉诱导装置吸入七氟醚2ml;B组采用传统的给药方式,在患儿进入手术室前肌肉注射氯胺酮4~5 ml/kg。记录两组麻醉效果、静脉穿刺时患儿体动发生的例数以及不良反应等。结果与B组比较,A组患儿的入睡时间和在手术室的滞留时间明显缩短(P0.01);静脉穿刺时患儿出现体动的例数明显减少(P0.01);躁动、分泌物增多等不良反应的发生率明显降低(P0.05)。结论组合式吸入麻醉诱导装置制作简便,易于携带。在解决患儿入手术室困难时,运用组合式吸入麻醉诱导装置进行七氟醚吸入麻醉与传统的肌注氯胺酮给药方式相比,更有效、更安全、更人性化。
[Abstract]:Objective to explore the feasibility and safety of sevoflurane inhalation anesthesia with portable combined inhalation anesthetic inducer. Each group (50 cases) was treated with a new method of administration, and group B (group B) inhaled sevoflurane 2ml of sevoflurane before entering the operating room. Ketamine was injected intramuscularly before the children entered the operating room, and 5 ml / kg ketamine was injected. The anesthetic effects of the two groups were recorded. Results compared with group B, the time of falling asleep and staying in the operating room of group A was significantly shorter than that of group B. The incidence of adverse reactions, such as increased secretion, decreased significantly (P 0.05). Conclusion the combined inhalation anesthesia induction device is simple and easy to carry. Sevoflurane inhalation anesthesia with combined inhalation induction device is more effective, safer and more humane than the traditional intramuscular administration of ketamine.
【作者单位】：安徽医科大学解放军174临床学院;
【基金】：厦门市科技课题(3502Z20174034)
【分类号】：R726.1

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