小儿七氟烷全身麻醉苏醒期躁动的研究进展  

Research progress in emergence delirium in children after sevoflurane general anesthesia

作　　者：郭敏 江连祥 戴泽平[1] GUO Min(Department of Anesthesiology, Yijishan Hospital of Wannan Medical College, Wuhu, Anhiu 241000, China.)

机构地区：[1]皖南医学院附属弋矶山医院麻醉科,安徽芜湖241000

出　　处：《齐齐哈尔医学院学报》2017年第23期2819-2821,共3页Journal of Qiqihar Medical University

摘　　要：小儿苏醒期躁动发生率高、不良反应重,是麻醉医生实施小儿麻醉亟需解决的一项难题。七氟烷因其麻醉诱导快、苏醒迅速、无刺激性气味、血气分配系数低等优点被广泛用于儿科手术麻醉。但其诱发苏醒期躁动的发生率也较高。本文简要概述小儿七氟烷麻醉苏醒期躁动的原因、临床表现及可能机制和防治措施,以便为临床作指导。The incidence of emergence delirium in children is significant and adverse reactions are serious, which is an urgent problem to be solved when anesthesiologists perform pediatric anesthesia. The advantages of sevoflurane due to its rapid anesthesia induction, rapid recovery, no irritating odor, low blood gas distribution coefficient, so it is widely used in pediatric anesthesia. However, sevoflurane induced emergence delirium rates also increased. This article briefly summarizes the cause, clinical manifestations and the possible mechanism of the emergence delirium during the sevoflurane anesthesia in children and particularly analyzes how to prevent and treat emergence delirium, in order to provide reference for clinical application.

关 键 词：小儿麻醉 七氟烷 苏醒期躁动 

分 类 号：R614[医药卫生—麻醉学]