七氟烷在小儿短小手术中的应用  

Application of sevoflurane in children with short operation

作　　者：康正莲[1] 许承范 田哲宇[2] Kang Zhenglian;Xu Chengfan;Tian Zheyu(Department of Anesthesia,Yanji Hospital 133000;Yanbian Maternal and Child Health Care Hospital 133000)

机构地区：[1]延吉市医院麻醉科,133000 [2]延边妇幼保健院,133000

出　　处：《中国社区医师》2016年第32期39-40,共2页Chinese Community Doctors

摘　　要：目的：观察七氟烷吸入诱导麻醉和氯胺酮基础麻醉在小儿麻醉中的安全性和有效性的比较。方法：收治择期手术的患儿48例，ASAⅠ～Ⅱ级，随机分两组。Ⅰ组：氯胺酮基础麻醉组；Ⅱ组：七氟烷吸入诱导麻醉组。分别记录患儿诱导的时间，术毕苏醒的时间和期间MAP，HR变化，以及不良反应发生率。结果：Ⅱ组麻醉时间和苏醒时间明显短于Ⅰ组(P＜0.05)，烦躁及嗜睡等不良反应明显少于Ⅰ组(P＜0.05)。结论：七氟烷麻醉诱导迅速，苏醒时间较短，安全、可靠，在小儿麻醉中有很好的前景。Objective:To compare the safety and efficacy of induction with inhalation of sevoflurane and ketamine basal anesthesia in pediatric anesthesia.Methods:48 children undergoing elective surgery were selected,ASA Ⅰ ～Ⅱ level,they were randomly divided into the two groups.The group Ⅰ:The ketamine based anesthesia group,the group Ⅱ:the induction with inhalation of sevoflurane group.The time of induction in children,the time to wake up after the operation,the duration of MAP,HR changes and adverse reactions were recorded.Result:The anesthesia time and recovery time of the groupⅡ were significantly shorter than that the group Ⅰ(P<O.05),the adverse effects such as irritability and sleepiness were significantly less than those of the group Ⅰ(P<O.05).Conclusion:Sevoflurane anesthesia induction is rapid,the recovery time is short,with safe and reliable,which has a good prospect in pediatric anesthesia.

关 键 词：七氟烷 氯胺酮 麻醉 小儿 

分 类 号：R726.1[医药卫生—儿科]