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目的探讨七氟醚在小儿手术麻醉诱导中的临床效果。方法下腹、会阴、下肢部位将进行手术的患儿80例。并根据麻醉方法的不同,将此80例患儿分为观察组和对照组,各40例。对对照组患儿采用氯胺酮的常规麻醉的方法 ,对观察组的患儿采用七氟醚诱导麻醉的方法。对患儿麻醉前后的平均动脉压(MAP)、心率(HR)、脉搏氧饱和度(Sp O2)的变化程度进行观察,同时对于患儿在手术后的清醒时间以及在手术过程中和手术之后的躁动、呕吐等不良反应进行记录。结果通过对观察组以及对照组两组患儿在手术中的HR观察可以发现,在手术中两组患儿的HR明显上升,手术后10 min可以发现观察组患儿的HR要明显低于对照组患儿,与麻醉前的数据差异无统计学意义(P>0.05);手术后10min可以发现观察组患儿的MAP要明显低于对照组患儿,与麻醉前的数据差异无统计学意义(P>0.05),且观察组没有患儿出现不良反应。结论通过临床观察可以发现七氟醚的麻醉效果要优于氯胺酮麻醉的麻醉效果,且不良反应较少,值得在临床上进行实践推广。
Objective To investigate the clinical effect of sevoflurane on induction of anesthesia in pediatric surgery. Methods The lower abdomen, perineum, lower limb surgery in children with 80 cases. According to the different anesthesia methods, 80 cases were divided into observation group and control group, 40 cases in each group. The control group of children with ketamine conventional anesthesia, the observation group of children with sevoflurane induction of anesthesia. The changes of mean arterial pressure (MAP), heart rate (HR) and pulse oxygen saturation (Sp O2) in children before and after anesthesia were observed. At the same time, the patients’ recovery time after surgery and during and after surgery Of agitation, vomiting and other adverse reactions recorded. Results By observing the HR in the observation group and the control group, the HR of the two groups in the operation increased obviously. The HR of the observation group was significantly lower than that of the control group 10 minutes after the operation There was no significant difference between pre-anesthesia data and pre-anesthesia data (P> 0.05). After 10 minutes of surgery, the MAP in children in observation group was significantly lower than that in control group (P> 0.05), and there was no adverse reaction in the observation group. Conclusion Sevoflurane anesthesia is better than ketamine anesthesia through clinical observation, and the side effect is less, which is worth to be popularized clinically.