七氟醚静吸复合麻醉与全凭静脉麻醉在小儿手术麻醉中的效果比较

发布时间：2018-04-05 11:40

本文选题：七氟醚　切入点：丙泊酚　出处：《中国医药指南》2016年15期

【摘要】：目的探讨七氟醚静吸复合麻醉与全凭静脉麻醉在小儿手术麻醉中的效果差异。方法入选的手术患儿共80例,随机分为观察组和对照组。观察组和对照组均给予相同麻醉前给药,对照组给予丙泊酚诱导,并恒速给予丙泊酚和芬太尼麻醉维持。观察组给予7%七氟醚诱导,而后吸入3%~5%七氟醚。观察组患儿在手术结束前的10 min停止吸入,并给予芬太尼(剂量为2μg/kg)静注。观察两组患儿麻醉情况。观察两组患儿麻醉诱导速度情况,记录意识消失时间和插管时间。记录两组患儿苏醒时间、拔管时间、定向力恢复时间和麻醉后监护室滞留时间。结果观察组意识消失时间晚于对照组,观察组气管插管时间晚于对照组,差异有统计学意义(P0.05)。观察组苏醒时间早于对照组,观察组拔管时间早于对照组,观察组定向力恢复时间早于对照组,观察组麻醉后监护室滞留时间短于对照组,差异有统计学意义(P0.05)。结论七氟醚静吸复合麻醉应用小儿手术中麻醉效果显著,术后苏醒快,应用安全,值得借鉴。
[Abstract]:Objective to investigate the effect of sevoflurane combined anesthesia and total intravenous anesthesia in pediatric surgery.Methods 80 children were randomly divided into observation group and control group.The observation group and control group were given the same drug before anesthesia, while the control group was induced by propofol and maintained by constant rate propofol and fentanyl anesthesia.The observation group was induced by 7% sevoflurane and then inhaled 5% sevoflurane.In the observation group, inhaled fentanyl (2 渭 g / kg) was given intravenously 10 min before operation.Anesthesia was observed in two groups.Anaesthesia induction rate, consciousness disappearance time and intubation time were observed in both groups.The recovery time, extubation time, recovery time and stay time after anesthesia were recorded.Results the time of consciousness disappearance in the observation group was later than that in the control group, and the time of tracheal intubation in the observation group was later than that in the control group (P 0.05).The recovery time of observation group was earlier than that of control group, the time of extubation of observation group was earlier than that of control group, the recovery time of directional force in observation group was earlier than that of control group, and the retention time of monitor unit after anesthesia in observation group was shorter than that in control group (P 0.05).Conclusion sevoflurane combined anesthesia is effective in pediatric operation, and it is safe to use for reference.
【作者单位】：河南省南阳市第一人民医院麻醉科;
【分类号】：R726.1

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