组合式吸入麻醉诱导装置在患儿入手术室困难中的应用  

Application of solving difficulty of pediatric patients into the operating room by using combined inhalation anesthesia induction device

作　　者：郑康燕 刘姗姗[1] 蔡铁良[1] 张正迪[1] 胡宏强[1] ZHENG Kangyan LIU Shanshan CAI Tieliang ZHANG Zhengdi HU Hongqiang.(Department of Anesthesiology, The 174 Hospital of PLA Affiliated Hospital of the Anhui Medical University, Xiamen 861008, China)

机构地区：[1]安徽医科大学解放军174临床学院,厦门市361003

出　　处：《临床麻醉学杂志》2017年第9期860-863,共4页Journal of Clinical Anesthesiology

基　　金：厦门市科技课题(3502Z20174034)

摘　　要：目的探讨应用便携组合式吸入麻醉诱导装置进行七氟醚吸入麻醉在解决患儿入手术室困难中的可行性及安全性。方法选择100例择期短小手术患儿,随机分为两组,每组50例。A组采用新型的给药方式,在患儿进入手术室前通过便携组合式吸入麻醉诱导装置吸入七氟醚2ml;B组采用传统的给药方式,在患儿进入手术室前肌肉注射氯胺酮4~5 ml/kg。记录两组麻醉效果、静脉穿刺时患儿体动发生的例数以及不良反应等。结果与B组比较,A组患儿的入睡时间和在手术室的滞留时间明显缩短(P<0.01);静脉穿刺时患儿出现体动的例数明显减少(P<0.01);躁动、分泌物增多等不良反应的发生率明显降低(P<0.05)。结论组合式吸入麻醉诱导装置制作简便,易于携带。在解决患儿入手术室困难时,运用组合式吸入麻醉诱导装置进行七氟醚吸入麻醉与传统的肌注氯胺酮给药方式相比,更有效、更安全、更人性化。Objective To discuss the feasibility and safety of sevoflurane inhale anesthesia with portable combined inhalation anesthesia induction device in solving the difficulty of children entering the operation room.Methods One hundred pediatric patients were enrolled into the study.The pediatric patients were randomly divided into two groups,50 cases in each group.Group A was fraught with a new mode of administration,using portable combined inhalation anesthesia induction device with sevoflurane 2ml before entering the operation room;group B was fraught with a traditional mode of administration,using intramuscular injection with ketamine 4-5ml/kg before entering the operation room.The analog scale of anesthetic effect,the number of body movement,adverse reaction were compared between the two groups.Results Compared with group B,time of falling asleep and retention time in the operating room was significantly shorter（P〈0.01）.And body movement during vein puncture decreased significantly（P〈0.01）.Moreover,the incidence of adverse affect showed significant reduce compared with group B（P〈0.05）.Conclusion The combined inhalation anesthesia induction device is simple to produce and easy to carry.To solve the difficulty of convoying children into the operating room,combined inhalation anesthesia induction device with sevoflurane is more effective,safer and more humanized way when compared with the traditional one.

关 键 词：组合式吸入麻醉诱导装置 患儿 诱导 人性化 

分 类 号：R726.1[医药卫生—儿科]