七氟烷复合顺式阿曲库铵在新生儿剖腹探查术中的应用  

The Application of Sevoflurane Combined with Cisatracurium in Neonatal Exploratory Laparotomy

作　　者：曾焱[1] 彭晓晗[1] 李超[1] 

机构地区：[1]昆明市儿童医院麻醉科,650034

出　　处：《西南军医》2011年第3期418-419,共2页Journal of Military Surgeon in Southwest China

摘　　要：目的回顾总结七氟烷复合顺式阿曲库铵在新生儿剖腹探查术中应用的效果。方法就诊于本院的新生儿50例,ASAⅡ或Ⅲ级,年龄1-28d,体重1.9-3.5 kg,分为2组：七氟烷组（Q组）（n=22）和七氟烷顺阿曲库铵组（QA组）（n=24）。Q组七氟烷吸入麻醉诱导;QA组吸入七氟烷复合静脉注射顺阿曲库铵0.1 mg/kg行麻醉诱导。两组均吸入七氟烷（1.0-1.2 MAC）维持麻醉。结果术前患儿出生天数、体重、性别构成情况的比较,差异无统计学意义（P〉0.05）。两组间术毕后拔管和术毕后带管的患儿比较,差异无统计学意义（P〉0.05）。结论新生儿剖腹探查术中应用七氟烷复合顺式阿曲库铵不影响术毕拔管。Objective To discuss the effect of the application of sevoflurane combined with cisatracurium in neonatal exploratory laparotomy.Methods 50 newborn infants of ASA II or ASA III,aged from 1 day to 28 days,with the weight from 1.9kg to 3.5kg,were divided into 2 groups： Q group（n=22） and QA group（n=24）;sevoflurane inhalational induction was performed in Q group while inhalational induction of sevoflurane combined with cisatracurium（0.1mg/kg） was performed in QA group;cases in both groups were maintained anesthesia with sevoflurane.Result The comparison before operation of postnatal days,weight,sex between the 2 groups was of no statistical significance（P〈0.05） as well as the comparison after operation between the infants of extubation and those with tube remaining.Conclusions The application of sevoflurane combined with cisatracurium in neonatal exploratory laparotomy has no effect on extubation after operation.

关 键 词：七氟烷 顺式阿曲库铵 婴儿 新生 麻醉 

分 类 号：R726[医药卫生—儿科]