七氟烷吸入麻醉与异丙酚-氯胺酮静脉麻醉在小儿手术中的临床比较  

Clinical comparision of sevoflurane inhalation anaesthesia and propofol-ketamine intravenous anesthesia in pediatric surgery

作　　者：尤克强[1] 张小宝[1] 

机构地区：[1]连云港市第一人民医院麻醉科,江苏连云港222000

出　　处：《现代医药卫生》2010年第10期1468-1469,共2页Journal of Modern Medicine & Health

摘　　要：目的:比较七氟醚吸入麻醉和异丙酚-氯胺酮静脉麻醉在小儿下腹部手术应用中的优缺点。方法:120例年龄2～6岁ASAⅠ～Ⅱ级在全麻下行腹股沟斜疝或隐睾手术的患儿随机分为七氟醚吸入麻醉组(S组)和异丙酚-氯胺酮静脉麻醉组(P组),分别记录手术中患儿体动情况、心率变化、脉搏血氧饱和度、术毕苏醒时间以及恶心呕吐(PONV)发生率。结果:P组手术中患儿发生体动明显高于S组(P<0.01),而P组心率变化超过20%的患儿高于S组(P<0.05)。15例P组患儿出现SpO2<95%,明显高于S组(P<0.01)。P组术毕清醒时间明显长于S组,而PONV的发生率P组明显低于S组(P<0.01)。结论:与异丙酚组比较,七氟醚吸入麻醉患儿手术过程中的心率稳定及脉搏血氧饱和度正常,同时苏醒时间短。但是应预防术后恶心呕吐的发生。Objective：To investigate the advantages and disadvantages of sevoflurane inhalation anesthesia and propofol-ketamine intravenous anesthesia in children surgery.Methods：120 children undergoing oblique inguinal hernia or cryptorchidism surgery were randomized into two groups：group S and group P.The movement of the children patients,change of heart rate,SpO2,palinesthesia time after surgery,post operative nausea and vomiting（PONV） were recorded in all children.Results：The incidence of movement,heart rate change,SpO2 less than 95% were higher in group P than in group S.The palinesthesia time after sugery in group P were longer than group S.But the incidence of PONV was lower in group P than in group S.Conclusion：Compared with propofol,children received sevoflrane anesthesia have stable heart rate,normal SpO2 and short palinethesia time.But the prevention of PONVshould be noticed.

关 键 词：七氟醚 异丙酚 小儿 

分 类 号：R614[医药卫生—麻醉学]