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目的探讨七氟醚在小儿短小手术中的应用。方法选择28例1-6岁的患儿,随机分为七氟醚组和氯氨酮组。观察两组患儿围麻醉期的血流动力学及呼吸功能的改变及透导时间,苏醒时间,麻醉相关的并发症。结果七氟醚组的透导时间,苏醒时间及并发症均短于氯胺酮组(P<0.01);七氟醚组血流动力学的变化较氯胺酮组小(P<0.05);两组呼吸抑制作用都有发生,但差异不大。结论七氟醚吸入全麻用于小儿短小手术优于氯胺酮且安全可行。
Objective To investigate the application of sevoflurane in short pediatric surgery. Methods Twenty-eight children aged 1-6 years old were randomly divided into sevoflurane group and ketamine group. The changes of hemodynamics and respiratory function, percutaneous conduction time, recovery time and anesthesia-related complications were observed in the two groups. Results The time of sevoflurane and the recovery time and complications of sevoflurane group were shorter than that of ketamine group (P <0.01). The changes of hemodynamics in sevoflurane group were smaller than that of ketamine group (P <0.05) The role has occurred, but not very different. Conclusions General anesthesia with sevoflurane is safe and feasible for short-term surgery in children than ketamine.