七氟醚麻醉诱导在小儿气管异物取出术麻醉管理中应用的价值  

Value of application of sevoflurane anesthesia induction in anesthesia management of foreign matter removal from trachea in children

作　　者：赵晓亮[1] 吴新华[1] 徐桂萍[1] 

机构地区：[1]新疆维吾尔自治区人民医院麻醉科,乌鲁木齐830001

出　　处：《中国医师杂志》2017年第8期1192-1195,共4页Journal of Chinese Physician

摘　　要：目的探讨七氟醚麻醉诱导在小儿气管异物取出术中的应用价值。方法选择本院2015年1月至2016年12月收治的气管异物患儿65例作为研究对象，按照随机数字表法分为两组，其中对照组32例，采用静脉注射丙泊酚2．5mg／kg诱导麻醉，观察组33例，采用8％七氟醚吸入诱导麻醉。比较分析两组患儿一次置镜成功率、脱氧时间、手术时间、苏醒时间及入室时、置镜前、置镜后、退镜时相关参数（收缩压、舒张压、呼吸频率及脉搏血氧饱和度）的变化情况，记录术中及术后不良反应。结果两组人室时和置镜前的呼吸频率、血氧饱和度、收缩压及舒张压比较，差异均无统计学意义（P〉0．05），而在置镜后和退镜时观察组的呼吸频率和血氧饱和度高于对照组，差异有统计学意义（P〈0．05），其它各指标差异无统计学意义（P〉0．05）；观察组脱氧时间、手术时间及苏醒时间短于对照组，差异有统计学意义（P〈0．05）；观察组不良反应总发生率低于对照组，差异有统计学意义（P〈0．05）。结论小儿气管异物取出术中采用七氟醚进行麻醉诱导能够明显缩短患儿手术时间及苏醒时间，降低术中及术后不良反应发生率，具有较好的临床效果。Objective To explore the value of application of Sevoflurane anesthesia induction in anesthesia management of foreign matter removal from trachea in children. Methods Sixty five cases of children with tracheal foreign matter related in our hospital from January 2015 to December 2016 were selected as the study objects, and were divided into two groups according to random number table method. The control group of 32 cases was given 2. 5 mg/kg propofol to induce anaesthesia, and the observation group of 33 cases was given 8% Sevoflurane inhalation to induce anesthesia. One shot success rate, deoxygenation time, operation time, recovery time and the relative parameters （systolic pressure, diastolic pres- sure, respiratory rate and pulse oxygen saturation） at entrance time, before and after setting the mirror were contrasted and analyzed, and the intraoperative and postoperative adverse reactions were recorded in the two groups. Results There were no significant differences in respiratory rate, blood oxygen saturation, systolic blood pressure and diastolic blood pressure between two groups at entrance time and before setting the mirror （ P 〉 0. 05 ）. The respiratory rate and blood oxygen saturation of the observation group were higher than those of control group after setting the mirror and at withdrawing mirror time, with statistically significant differences （ P 〈 0. 05 ）. No statistically significant differences in other indexes （ P 〉 0. 05 ）. Deoxygenation time, operation time and recovery time of the observation group were significantly lower than those in the control group （ P 〈 0. 05 ）. The total incidence of adverse reactions in the observation group was significantly lower than that in the control group （ P 〈 0. 05 ）. Conclusions Sevoflurane anesthesia induction can obvi-ously shorten operation time and recovery time in foreign matter removal from trachea in children, and re-duce the incidence of intraoperative and postoperative adverse reactions. It has good clinical e

关 键 词：甲醚类/投药和剂量 异物/外科学 气管疾病/外科学 麻醉 

分 类 号：R726.1[医药卫生—儿科]