七氟醚吸入麻醉在小儿短小手术中的应用  

Application of Sevoflurane Inhalation in Fast-track Infant Operation

作　　者：张传青[1] 王欢[1] 卢明军 ZHANG Chuan-qing;WANG Huan;LU Ming-jun(Department of Anesthesiology,Gongli Hospital,Pudong New District,Shanghai 200135)

机构地区：[1]上海市浦东新区公利医院麻醉科,上海200135

出　　处：《医学临床研究》2018年第10期1929-1931,共3页Journal of Clinical Research

摘　　要：【目的】观察七氟醚吸入麻醉在小儿短小手术中的临床应用价值。【方法】68例小儿短小手术患儿按照单双号平均分配的方法分为两组，每组34例，观察组给予面罩吸入七氟烷诱导，对照组给予氯胺酮麻醉诱导，观察比较两组患儿麻醉诱导时间、术后苏醒时间、平均动脉压（MAP）、心率（HR）、SpO2及不良反应发生情况。【结果】观察组患儿麻醉诱导时间和术后苏醒时间较对照纽均显著缩短，且差S异有显著性（P〈0．05）。诱导后观察组患儿MAP、HR指标较对照组明显降低，且差异均有显著性（P〈0．05），观察组恶心呕吐、分泌物增多、喉痉挛等不良反应发生率显著低于对照组（P〈0．05）。【结论】七氟醚吸入麻醉在小儿短小手术中具有诱导时间短、术后苏醒快、血流动力学影响小，疗效安全等优点，值得临床推广使用。[Objective]To evaluate the clinical application value of sevoflurane inhalation anesthesia in fast track infant operation. [MethodslA total of 68 children undergoing fast-track infant operation were divided into two groups by odd and even numbers, with 34 cases in each group. The observation group was given mask in halation of sevoflurane for induction while the control group was given ketamine anesthesia induction. The an esthesia induction time, postoperative recovery time, mean arterial pressure （MAP）, heart rate （HR）, SpO2 and the incidence of adverse reactions were recorded and compared. [Results]The anesthesia induction time and postoperative recovery time of the observation group were significantly shorter than those of the control group （ P 〈0.05）. After the induction, MAP and HR of the observation group were significantly lower than those of the control group （ P 〈0.05）. The incidence rates of nausea and vomiting, increased secretions, laryngeal spasm in the observation group were significantly lower than those in the control group （ P 〈0.05）. [Conclu sionlSevoflurane inhalation anesthesia has the advantages of short induction time, quick postoperative recovery and little effect on hemodynamics in fast-track infant operation. It is safe and worthy of clinical use.

关 键 词：醚类/治疗应用 麻醉 吸入 

分 类 号：R726.142.1[医药卫生—儿科]