七氟醚联合丙泊酚在小儿鼻内镜下腺样体摘除术麻醉中的应用效果  

Application effect of Sevoflurane combined with Propofol in adenoidectomy under nasal endoscope in children

作　　者：宗斯 ZONG Si(Department of Anesthesiology,Jiujiang Maternal and Child Health Hospital,Jiangxi Province,Jiujiang332000,China)

机构地区：[1]江西省九江市妇幼保健院麻醉科

出　　处：《中国当代医药》2019年第35期169-171,共3页China Modern Medicine

摘　　要：目的探讨七氟醚联合丙泊酚在小儿鼻内镜下腺样体摘除术麻醉中的应用效果。方法按随机数字表法将2017年1月~2019年1月在我院行小儿鼻内镜下腺样体摘除术治疗的70例患儿分为两组,每组各35例。研究组行七氟醚+泵入丙泊酚维持麻醉,对照组行七氟醚维持麻醉。比较两组的围术期指标、血流动力学及不良反应发生情况。结果研究组意识消失时间、疼痛反应消失时间、苏醒期睁眼时间、拔管时间分别为(45.58±15.38)s、(74.61±7.92)s、(7.15±1.64)min、(9.65±2.30)min,短于对照组的(60.09±15.59)s、(151.42±13.48)s、(13.41±2.26)min、(20.91±3.64)min,差异有统计学意义(P<0.05);麻醉诱导时、拔管后5 min两组的平均动脉压(MAP)低于麻醉前,心率(HR)慢于麻醉前,差异有统计学意义(P<0.05)。研究组麻醉诱导时、拔管后5 min MAP均高于对照组,HR快于对照组,差异有统计学意义(P<0.05)。研究组不良反应总发生率低于对照组,差异有统计学意义(P<0.05)。结论小儿鼻内镜下腺样体摘除术中使用七氟醚联合丙泊酚可缩短患儿意识消失时间、疼痛反应消失时间,维持血流动力学稳定,且不良反应较少,值得推广应用。Objective To investigate the application effect of Sevoflurane combined with Propofol in children undergoing adenoidectomy under nasal endoscope.Methods Seventy children underwent adenoidectomy under nasal endoscope in our hospital from January 2017 to January 2019 were divided into two groups according to the random number table method,with 35 cases in each group.Sevoflurane+Propofol was used to maintain anesthesia in the study group and Sevoflurane was used to maintain anesthesia in the control group.The perioperative indexes,hemodynamics and adverse reactions were compared between the two groups.Results The time of consciousness disappearance,pain response disappearance,eye opening and extubation in the study group were(45.58±15.38)s,(74.61±7.92)s,(7.15±1.64)min、(9.65±2.30)min,respectively,shorter than those in the control group for(60.09±15.59)s,(151.42±13.48)s,(13.41±2.26)min,(20.91±3.64)min,with significant differences(P<0.05).The meanarterialpressure(MAP)and of two groups was lower and heart rate(HR)was slower than those at the time of induction of anesthesia and 5 minutes after extubation,the differences were statistically significant(P<0.05).The MAP of the study group was higher and HR was faster than those of the control group at the time of induction of anesthesia and 5 minutes after extubation,the differences were statistically significant(P<0.05).The total incidence of adverse reactions in the study group was lower than that in the control group,the differences were statistically significant(P<0.05).Conclusion Sevoflurane combined with Propofol can shorten the disappearance time of consciousness and pain response,maintain hemodynamic stability,and have fewer adverse reactions in children undergoing adenoidectomy under nasal endoscope,which is worthy of popularization and application.

关 键 词：小儿鼻内镜下腺样体摘除术 七氟醚 丙泊酚 麻醉效果 

分 类 号：R614[医药卫生—麻醉学]