异氟醚与七氟醚复合麻醉在小儿全身麻醉中的应用  

Application of Isoflurane and Sevoflurane Compound Anesthesia in Children General Anesthesia

作　　者：刘清玉[1] 艾伟[1] 刘波[1] 边步荣[1] 刘斌[1] 张路[2] 

机构地区：[1]陕西省榆林市第一医院,陕西榆林719000 [2]辽宁中医药大学附属第二医院,辽宁沈阳110032

出　　处：《现代生物医学进展》2016年第2期329-331,共3页Progress in Modern Biomedicine

基　　金：国家自然科学基金项目(30901975)

摘　　要：目的:探讨异氟醚及七氟醚复合麻醉在患儿全身麻醉中的应用。方法:选取陕西省榆林市第一医院儿科收治的需行ASAⅠ或Ⅱ级行外科手术患儿86例,随机分为两组,其中对照组43例给予异氟醚全身麻醉诱导;实验组43例予以异氟醚及七氟醚复合全身麻醉诱导。观察比较两组麻醉诱导时间(T1)、苏醒时间(T2)、aldrete评分达9分或9分以上时间(T3)以及不良反应发生率。结果:实验组患儿麻醉诱导时间、苏醒时间、aldrete评分为9分或9分以上时间均明显少于对照组,差异具有统计学意义(P<0.05);实验组患儿不良反应发生率明显低于对照组,差异具有统计学意义(P<0.05)。结论:异氟醚及七氟醚复合麻醉能够缩短麻醉诱导时间、苏醒时间及术后恢复时间,具有较高的安全性,值得临床推广应用。Objective： To investigate the effects of isoflurane and sevoflurane compound anesthesia in children. Methods： 86 cases were selected and randomly divided into the control group and the experimental group with 43 cases in each group. The patients in the control group were treated with isoflurane induction, while the patients in the experimental group were treated with isoflurane and sevoflurane composite induction. Then the anesthesia effects and the adverse reactions of the patients at the time of anesthesia induction time（T1）, analepsis（T2）, and the aldrete score ranked more than 9（T3） were observed and compared between the two groups. Results：The induction time, recovery time and the aldrete score ranking more than 9 points of the patients in the experimental group were significantly less than those of the control group with statistically significant differences（P〈0.05）; The incidence of adverse reactions in the experimental group was significantly lower than that of the control group with statistically significant difference（P〈0.05）.Conclusion： Isoflurane and sevoflurane compound anesthesia induction can obviously shorten the anesthesia time and improve the recovery, which is worthy of promotion in the clinical fields with security.

关 键 词：异氟醚 七氟醚 复合麻醉 小儿 

分 类 号：R614[医药卫生—麻醉学]