本文選題：七氟醚　切入點(diǎn)：丙泊酚　出處：《中國(guó)醫(yī)藥指南》2016年15期

【摘要】：目的探討七氟醚靜吸復(fù)合麻醉與全憑靜脈麻醉在小兒手術(shù)麻醉中的效果差異。方法入選的手術(shù)患兒共80例,隨機(jī)分為觀察組和對(duì)照組。觀察組和對(duì)照組均給予相同麻醉前給藥,對(duì)照組給予丙泊酚誘導(dǎo),并恒速給予丙泊酚和芬太尼麻醉維持。觀察組給予7%七氟醚誘導(dǎo),而后吸入3%~5%七氟醚。觀察組患兒在手術(shù)結(jié)束前的10 min停止吸入,并給予芬太尼(劑量為2μg/kg)靜注。觀察兩組患兒麻醉情況。觀察兩組患兒麻醉誘導(dǎo)速度情況,記錄意識(shí)消失時(shí)間和插管時(shí)間。記錄兩組患兒蘇醒時(shí)間、拔管時(shí)間、定向力恢復(fù)時(shí)間和麻醉后監(jiān)護(hù)室滯留時(shí)間。結(jié)果觀察組意識(shí)消失時(shí)間晚于對(duì)照組,觀察組氣管插管時(shí)間晚于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。觀察組蘇醒時(shí)間早于對(duì)照組,觀察組拔管時(shí)間早于對(duì)照組,觀察組定向力恢復(fù)時(shí)間早于對(duì)照組,觀察組麻醉后監(jiān)護(hù)室滯留時(shí)間短于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論七氟醚靜吸復(fù)合麻醉應(yīng)用小兒手術(shù)中麻醉效果顯著,術(shù)后蘇醒快,應(yīng)用安全,值得借鑒。
[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.
【作者單位】： 河南省南陽(yáng)市第一人民醫(yī)院麻醉科;
【分類號(hào)】：R726.1

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