七氟烷吸入麻醉对下肢骨折手术患儿血气指标及麻醉质量的影响

发布时间：2018-08-19 05:55

【摘要】：目的探讨七氟烷吸入麻醉对下肢骨折手术患儿血气指标及麻醉质量的影响。方法选择2013年10月至2015年6月在本院小儿骨科行手术治疗的72例下肢骨折患儿,采用随机数字表法分为观察组和对照组,每组36例。对照组采用氯胺酮复合骶管阻滞麻醉,观察组给予七氟烷复合骶麻,比较两组患儿麻醉中血气指标、麻醉质量及不良反应的发生情况。结果血气指标:麻醉后两组患儿PaO_2均有所下降,PaCO_2均有所升高;切皮及置入内固定时,观察组Pa O2高于对照组,PaCO_2低于对照组,两组比较差异均有统计学意义(P均0.05);麻醉质量:两组患儿麻醉完成时间、感觉阻滞起效时间、感觉阻滞维持时间、运动阻滞起效时间及运动阻滞维持时间比较差异均无统计学意义(P均0.05);麻醉苏醒时间及不良反应:观察组疼痛消失时间、麻醉苏醒时间明显短于对照组,不良反应明显低于对照组,两组比较差异均有统计学意义(P均0.05)。结论七氟烷吸入麻醉能维持下肢骨折手术患儿血气指标稳定,提高麻醉质量,减少不良反应。
[Abstract]:Objective to investigate the effect of sevoflurane inhalation anesthesia on blood gas index and anesthesia quality in children with lower limb fracture. Methods from October 2013 to June 2015, 72 children with lower extremity fractures were divided into observation group (n = 36) and control group (n = 36). The control group was treated with ketamine combined with sacral canal block, the observation group was given sevoflurane combined with sacral anesthesia, and the blood gas index, anesthesia quality and adverse reactions were compared between the two groups. Results Blood gas index: after anesthesia, PaO_2 in both groups decreased and Paco _ 2 increased, Pao _ 2 in the observation group was higher than that in the control group, and Paco _ 2 in the observation group was lower than that in the control group. The quality of anesthesia: the time of completion of anesthesia, the onset time of sensory block, the duration of sensory block, and the maintenance time of sensory block in the two groups were statistically significant (P 0.05). There was no significant difference in the onset time of motor block and the maintenance time of motor block (P 0.05), the time of anaesthesia recovery and side effects: the time of pain disappearance in the observation group was significantly shorter than that in the control group. The adverse reaction was significantly lower than that in the control group, and the difference between the two groups was statistically significant (P 0.05). Conclusion sevoflurane inhalation anesthesia can maintain stable blood gas index, improve anesthesia quality and reduce adverse reactions in children with lower extremity fracture.
【作者单位】：深圳市远东妇儿科医院麻醉科;
【分类号】：R726.1

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