小儿唇腭裂修复术中应用七氟醚吸入全麻复合眶下神经阻滞的临床应用效果分析  

Analysis of the clinical effect of application of sevoflurane inhalation general anesthesia combined with infraobital nerve blockade in repair of cheilopalatognathus in children

作　　者：黄时富[1] Huang Shifu(The Third Affiliated Hospital of Guizhou Medical University 558000)

机构地区：[1]贵州医科大学第三附属医院,558000

出　　处：《中国社区医师》2016年第6期87-87,89,共2页Chinese Community Doctors

摘　　要：目的:探讨七氟醚吸入全麻复合眶下神经阻滞在小儿唇腭裂修复术中的应用效果。方法:收治小儿唇腭裂患者72例,分为对照组和观察组各36例,观察组采用七氟醚吸入全麻复合眶下神经阻滞麻醉,对照组采用丙泊酚复合芬太尼麻醉,比较两组的麻醉效果。结果:观察组的麻醉诱导时间、插管时间、停药到拔管时间、苏醒时间均短于对照组(P<0.05)。观察组不良反应发生率2.8%,明显低于对照组的16.7%(P<0.05)。结论:七氟醚吸入全麻复合眶下神经阻滞能缩短患儿苏醒时间,减少麻醉药用量,降低不良反应发生率。Objective:To explore the clinical effect of application of sevoflurane inhalation general anesthesia combined withinfraobital nerve blockade in repair of cheilopalatognathus in children.Methods:72 cases of children with cheilopalatognathuswere selected.They were divided into the control group and the observation group with 36 cases in each.The observation group wastreated with sevoflurane inhalation general anesthesia combined with infraobital nerve blockade.The control group was treatedwith propofol combined with fentanyl anesthesia.We compared the effect of two groups.Results:In the observation group,the timeof anesthesia induction,the time of intubation,the time of from withdrawal to extubation,and the recovery time were shorter thanthose in the control group(P<0.05).The incidence of adverse reactions in observation group of 2.8% was significantly lower than16.7% in the control group(P<0.05).Conclusion:The application of general anesthesia with sevoflurane inhalation combined withinfraobital nerve blockade can shorten the recovery time,reduce the dosage of anesthetic,and reduce the incidence of adversereactions.

关 键 词：小儿唇腭裂 七氟醚 吸入全麻 眶下神经阻滞 

分 类 号：R726.1[医药卫生—儿科]