小儿气管异物取出术的麻醉处理  

Anesthetic management for tracheal foreign body removal from children

作　　者：何景培[1] 陈海林[1] 莫朴[1] 邹振飞[1] 李岳文 He Jingpei Chen Hailin Mo Pu Zou Zhenfei Li Yuewen(Department of Anesthesia, Maoming People＇s Hospital, Maoming 525000, Chin)

机构地区：[1]茂名市人民医院麻醉科,525000

出　　处：《国际医药卫生导报》2017年第5期717-719,共3页International Medicine and Health Guidance News

摘　　要：目的探讨小儿气管异物取出术有效的麻醉处理方法。方法选取本院60例行气管异物取出术患儿为研究对象，随机分成两组，A组（30例）采取七氟醚吸入诱导，B组（30例）采取丙泊酚静脉注射诱导，术中靶控输注丙泊酚和瑞芬太尼维持，比较两组的麻醉效果。结果两组均顺利手术，两组麻醉诱导后、插入气管镜后、清醒后的MAP、HR均有改变，组间插镜后的MAP、HR比较差异均有统计学意义；A组手术时间、气管镜出入次数、麻醉恢复时间均明显少于对照组，A组不良反应发生率为16．7％，B组不良反应发生率为73．3％，两组比较差异有统计学意义。结论相较于丙泊酚，七氟醚吸入诱导在小儿气管异物取出术中的麻醉效果更佳，不良反应更少，值得临床应用。Objectives To study the methods of effective anesthesia for tracheal foreign body removal in children. Methods 60 children undertaking tracheal foreign body removal at our hospital were selected and randomly divided into group A and group B. Group A were inducted inhaling sevoflurane and group B venously injecting propofol. The controlled infusion of propofol and fentanyl was applied to maintain anesthesia during operation. The effects of anesthesia were compared between the two groups. Results Both groups were successfully operated. There were some changes of MAP and HR in the two groups after anesthetic induction, intubation, and arousal, respectively. There were statistical differences in MAP and HR after intubation between the two groups. The duration of operation, times of attempt for intubation, and arousal time were shorter in group A than in group B. The incidence of adverse effects was 16.7% in group A and 73.3% in group B, with a statistical difference. Conclusions Inhaling induction with sevoflurane for tracheal foreign body removal from children is more effective than propofol and has fewer adverse reactions, so it is worth being clinically applied.

关 键 词：七氟醚 丙泊酚 小儿气管异物取出术 麻醉处理 

分 类 号：R726.1[医药卫生—儿科]