七氟醚联合异丙酚在小儿气管异物取出术中的应用  

Application of sevoflurane and propofol in children undergoing operation of foreign body in tracheal

作　　者：李璐[1] 崔雪阳[2] 陈宏志[1] 孟凌新[1] 

机构地区：[1]中国医科大学附属盛京医院麻醉科,沈阳110004 [2]中国医科大学,92期沈阳110001

出　　处：《实用药物与临床》2010年第4期257-259,共3页Practical Pharmacy and Clinical Remedies

摘　　要：目的观察七氟醚联合异丙酚静吸复合全麻下行小儿气管异物取出术的麻醉效果。方法46例拟施气管异物取出术的患儿随机分为2组:七氟醚组(S组),羟丁酸钠组(R组)。观察支气管镜置镜条件满意度;记录麻醉至手术开始时间、手术时间及麻醉苏醒时间;观察各项生命指标的变化及并发症的情况。结果两组都能够达到良好的置入喉镜满意度;七氟醚组苏醒时间短且苏醒效果佳,与羟丁酸钠组比较,差异有统计学意义(P<0.05);两组均无明显的并发症发生。结论在急诊小儿气管异物取出术中应用七氟醚及异丙酚麻醉,可以达到良好的麻醉效果,是一种安全有效的麻醉方法。Objective To study the application of sevoflurane and propofol in general anesthesia of tracheobronchoscopy for foreign body. Methods Forty-six ASA Ⅱ-Ⅲ children undergoing tracheobronchoscopy for foreign body were included in this study and allocated randomly into two groups： sevoflurane group （ group S） ; sodium hydroxybutyrate γ-OH group （ group R） . The intubation satisfaction was observed. The hemodynamic values,anesthetic induction phase,operation phase and time of consciousness recovery were recorded. The incidence of side-effect was also recorded. Results There was less circulatory fluctuation,faster recovery with lower incidence of agitation and nausea and vomiting and less post-operative complications in group S than in group R. Conclusion Sevoflurane and propofol can be used safely and effectively in emergency tracheobronchoscopy for foreign body in children.

关 键 词：七氟醚 异丙酚 气管异物 

分 类 号：R726.1[医药卫生—儿科]