七氟醚麻醉诱导与氯胺酮麻醉诱导在患儿全身麻醉中的效果分析

发布时间：2018-03-11 08:41

本文选题：七氟醚　切入点：氯胺酮　出处：《中外医学研究》2016年30期 　论文类型：期刊论文

【摘要】：目的:对比观察七氟醚麻醉诱导与氯胺酮麻醉诱导在患儿全身麻醉中的效果。方法:对2012年12月-2015年12月笔者所在医院收治的80例手术治疗的患儿进行观察,根据不同麻醉方案将患儿平均分为观察组和对照组。观察组40例患儿采用七氟醚麻醉诱导,对照组40例患儿采用氯胺酮麻醉诱导,观察麻醉前后患儿的心率、平均动脉压变化情况以及苏醒时间、恢复自主呼吸时间、麻醉诱导时间、麻醉苏醒后不良反应情况。结果:观察组患儿麻醉前后不同时间心率和平均动脉压比较差异无统计学意义(P0.05),对照组患儿麻醉前后不同时间心率和平均动脉压比较差异有统计学意义(P0.05);观察组患儿的麻醉诱导时间、苏醒时间、恢复自主呼吸时间均优于对照组,差异均有统计学意义(P0.05);观察组患儿苏醒后不良反应发生率明显低于对照组,差异有统计学意义(P0.05)。结论:七氟醚麻醉诱导对患儿全身麻醉的麻醉效果明显,对患儿的心率、动脉压影响较小,且不良反应少,麻醉效果明显优于氯胺酮。
[Abstract]:Objective: to compare the effects of sevoflurane anesthesia induction and ketamine anesthesia induction in children with general anesthesia. According to different anesthetic schemes, the children were divided into observation group (n = 40) and control group (n = 40), which were induced by sevoflurane (n = 40) and ketamine (n = 40). Mean arterial pressure, recovery time, recovery time, anesthesia induction time, Results: there was no significant difference in heart rate and mean arterial pressure at different time before and after anesthesia in the observation group, but there was no significant difference in the heart rate and mean arterial pressure before and after anesthesia in the control group. The difference was statistically significant (P 0.05), the induction time of anesthesia in the observation group was higher than that in the control group. The recovery time and recovery time of spontaneous respiration in the observation group were significantly higher than those in the control group (P 0.05), and the incidence of adverse reactions in the observation group was significantly lower than that in the control group. Conclusion: sevoflurane anesthesia is more effective than ketamine in general anesthesia, and has little effect on heart rate and arterial pressure.
【作者单位】：湖南航天医院;
【分类号】：R726.1

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