七氟醚和异氟醚低流量吸入麻醉的临床应用  

Clinical Study of Sevoflurane and Isoflurane in Low Flow Anesthesia

作　　者：陈龙谦 黄慧瑜[1] 黄丽[1] 

机构地区：[1]湛江中心人民医院,广东湛江524037

出　　处：《辽宁医学院学报》2014年第3期68-70,共3页Journal of Liaoning Medical University (LNMU) Bimonthly

摘　　要：目的探讨临床上采用七氟醚和异氟醚低流量麻醉时对患者疗效的对比。方法在我院收治的手术治疗时需要气管插管和全身麻醉的患者中,抽取90例随机分成试验组和对照组,试验组和对照组各45名患者。在接收相同的低流量麻醉技术麻醉前提下,试验组接收七氟醚麻醉,对照组接受异氟醚麻醉。通过观察两组患者的苏醒时间、拔管时间、aldrete评分时间和患者对麻醉满意度来对比两种麻醉剂的临床疗效。结果两组患者在性别、年龄、体重、身高、手术时长等基本信息方面无显著差异,通过观察和统计得出,实验组患者苏醒时间、拔管时间、aldrete评分时间均短于对照组,两组存在显著差异,具有统计学意义(P<0.05);并且在术后患者满意度调查表中显示,实验组患者的满意度(43例,占总数的95.6%)明显高于对照组(30例,占总数的66.7%),差异明显,具有统计学意义(P<0.05)。结论临床麻醉中,七氟醚较异氟醚麻醉的安全性高、效果好、患者满意度高,可在临床上推广使用。Objective To investigate the clinical effect of sevoflurane and isoflurane on patients with low flow anesthesia. Meth-ods Among the patients needing operation treatment with endotracheal intubation and general anesthesia in our hospital, 90 patients were selected and randomly divided into the experimental group and the control group, 45 patients in each group. The two groups a-dopted the same anesthesia technology-low flow anesthesia. Based on this, the test group received Sevoflurane anesthesia, while the control group received Isoflurane anesthesia. The two anesthetics＆#39; clinical effects were compared based on the observation of the awak-ening time, extubation time, aldrete grade time and the satisfaction degree of patients between the two groups. Results There was no statistical difference in gender, age, weight, height, operation time and other basic information between the two groups. Through the observation and statistics, the recovery time, extubation time and Aldrete score time in experimental group were shorter than those in the control group. There was statistically significant difference between the two groups （P〈 0.05）. In the postoperative satisfaction survey, the experimental group （43 cases, accounting for 95.6% of the total） was significantly higher than the control group （30 ca-ses, accounting for 66.7% of the total）. The difference was obvious with statistical significance （P〈 0.05）. Conclusion Low flow anesthesia with Sevoflurane has good security, effects and high satisfaction degree compared with Isoflurane, which can be widely used in clinical practice.

关 键 词：七氟醚 异氟醚 临床麻醉 疗效 

分 类 号：R614.2[医药卫生—麻醉学]