对比七氟醚静吸复合麻醉、全凭静脉麻醉(丙泊酚、芬太尼)应用于小儿手术的麻醉质量  

Comparison of Anesthesia Quality of Sevoflurane Combined Intravenous Anesthesia and Total Intravenous Anesthesia(Propofol,Fentanyl) in Pediatric Surgery

作　　者：贾俊香 李冰 帅斐 

机构地区：[1]厦门市妇幼保健院麻醉科,福建厦门361003

出　　处：《中外医疗》2017年第28期144-146,共3页China & Foreign Medical Treatment

摘　　要：目的探讨七氟醚静吸复合麻醉、全凭静脉麻醉(丙泊酚、芬太尼)应用于小儿手术的麻醉质量。方法现随机选取2015年3月—2016年4月在该院进行手术的患儿74例,分成实验组37例,对照组37例,对照组采用丙泊酚联合芬太尼全凭静脉麻醉,实验组采用七氟醚静吸复合麻醉,对两组患儿麻醉前后SpO_2、HR、RR、SBP以及DBP波动情况进行对比和分析,同时评估躁动评分、疼痛评分、睁眼时间和呼吸恢复时间。对患儿综合麻醉效果进行对比和分析。结果两组患儿麻醉前后SpO_2、HR、RR、SBP以及DBP水平均没有明显改变,差异无统计学意义(P>0.05);实验组患儿的疼痛评分为(1.68±0.21)分,明显低于对照组的(2.98±1.24)分,组间差异有统计学意义(P<0.05);实验组患儿的躁动评分为(1.52±0.21)分,明显低于对照组的(2.87±0.27)分,组间差异有统计学意义(P<0.05);实验组患儿的睁眼时间和呼吸恢复时间分别为(11.24±4.23)min和(7.01±3.25)min,明显短于对照组的(15.18±3.44)min和(11.10±4.14)min,组间差异有统计学意义(P<0.05),平均手术时间差异无统计学意义(P>0.05)。结论在小儿的麻醉方法中,采用七氟醚静吸复合麻醉方法能够减少躁动的发生,并且镇痛效果好,麻醉恢复比较快,血液动力学稳定,是临床上有效的麻醉方式。Objective This paper tries to discuss the anesthesia quality of sevoflurane combined anesthesia and total intravenous anesthesia（propofol and fentanyl） in pediatric surgery.Methods 74 cases treated from March 2015 to April 2016 in this hospital were randomly selected and divided into the experimental group and the control group,with 37 cases in each group,the control group used propofol combined with fentanyl intravenous anesthesia,the experimental group was treated with sevoflurane anesthesia,the SpO_2,HR,RR,SBP and DBP fluctuations of the two groups before and after anesthesia were compared and analyzed,while the restlessness score,pain score,waking time,breathing recovery time were assessed.The effect of combined anesthesia in children was compared and analyzed.Results SpO_2,HR,RR,SBP and DBP levels of two groups before and after anesthesia were not significantly different,with no statistically significant difference（P〈0.05）; the pain score in the experimental group was（1.68±0.21） points,significantly lower than the control group of（2.98±1.24） points,the difference between groups was statistically significant（P〈0.05）; the agitation score in the experimental group was（1.52±0.21） points,significantly lower than the control group of（2.87±0.27） points,with obvious difference between groups,with statistically significant difference（P〈0.05）; waking time,breathing recovery time in the experimental group were（11.24±4.23）minutes and（7.01±3.25） minutes,significantly shorter than the control group of（15.18±3.44） minutes and（11.10±4.14） minutes,with statistically significant difference between groups（P〈0.05）.There was no significant difference in the average operation time between the two groups（P〉0.05）.Conclusion Among the methods of anesthesia in children,the use of sevoflurane intravenous inhalational anesthesia can reduce the incidence of agitation,with good analgesic effect,faster anesthesia recovery and stable hemodynamic,which is an clinicall

关 键 词：七氟醚静吸复合麻醉 全凭静脉麻醉 丙泊酚 芬太尼 

分 类 号：R5[医药卫生—内科学]