七氟醚吸入麻醉用于婴幼儿电子胃镜检查的效果观察

发布时间：2018-01-16 01:29

本文关键词：七氟醚吸入麻醉用于婴幼儿电子胃镜检查的效果观察　出处：《临床合理用药杂志》2016年26期 　论文类型：期刊论文

【摘要】：目的观察七氟醚吸入麻醉用于婴幼儿电子胃镜检查的临床效果。方法选取行电子胃镜检查的婴幼儿60例,随机分为观察组和对照组各30例。对照组予全凭静脉麻醉,观察组予七氟醚吸入麻醉。观察2组血流动力学、麻醉情况、住院时间及不良反应发生情况。结果 2组插管前至术毕MAP、Sp O2水平比较差异无统计学意义(P0.05);2组插管后5min、15min及术毕时HR水平与插管前比较差异有统计学意义,且观察组插管后5min、15min时HR水平高于对照组(P0.05);观察组睁眼、定向力恢复、出院时间均比对照组短(P0.01);观察组不良反应发生率10.00%,低于对照组的33.33%(P0.05)。结论七氟醚吸入麻醉用于婴幼儿电子胃镜检查效果优异,对患儿血流动力学影响及不良反应均较小,易为患儿及其家属接受,值得临床推广应用。
[Abstract]:Objective to observe the clinical effect of sevoflurane inhalation anesthesia on electronic gastroscopy in infants. The control group was given total intravenous anesthesia, the observation group was given sevoflurane inhalation anesthesia, and the hemodynamics and anesthesia were observed. Results there was no significant difference in the level of MAPSpO2 between the two groups from the time of intubation to the end of operation (P 0.05). HR levels at 5 min after intubation and at the end of operation in both groups were significantly different from those before intubation, and 5 min after intubation in the observation group. The HR level at 15 min was higher than that in the control group (P 0.05). In the observation group, the eyes opened, the directional force recovered, and the discharge time was shorter than that in the control group (P 0.01). The incidence of adverse reactions in the observation group was 10.00, which was lower than that in the control group (33.33p 0.05). Conclusion the effect of sevoflurane inhalation anesthesia on electronic gastroscopy is excellent. The hemodynamic effects and adverse reactions of the children were small and easy to be accepted by the children and their families, so it is worth popularizing and applying in clinic.
【作者单位】：广东省佛山市妇幼保健院麻醉科;
【基金】：2014年度佛山市医学类科技攻关项目(No:2014AB00375)
【分类号】：R726.1
【正文快照】： 婴幼儿消化道疾病发病率呈逐年上升趋势,电子胃镜检查技术也逐渐被用于临床婴幼儿消化道检查,但因婴幼儿生理特点和成人相差较大,检查时会有不同程度的不适感,例如恶心、呕吐、咽喉不适、咳嗽等,患儿常无法有效配合医师操作,既影响正常检查,又带给婴幼儿痛苦,故如何提高患儿电

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