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目的探讨七氟烷吸入麻醉在儿童喉手术中的应用效果。方法 2010年7月至2012年7月期间,我院诊治的58例喉手术患儿,随机将其分为对照组(氯胺酮静脉麻醉)和观察组(七氟烷吸入麻醉),每组各29例,对两组患者麻醉前(T0)、手术前(T1)、手术后10min(T2)、手术后30min(T3),以及手术结束时(T4)的平均动脉压(MAP)、心率(HR);根据FLACC评分法,对术后镇痛效果进行评分;以及术后苏醒时间,进行观察和比较。结果在手术前(T1)、手术后10min(T2)、手术后30min(T3),以及手术结束时(T4),与对照组相比,观察组的平均动脉压和心率明显降低,基本处于麻醉前的水平,观察组术后苏醒时间明显缩短,镇痛评分明显降低,P<0.05,差异有统计学意义。结论对于喉手术患儿,七氟烷吸入麻醉疗效显著,术后镇痛效果显著,值得临床推广。
Objective To investigate the effect of sevoflurane inhalation anesthesia in pediatric laryngeal surgery. Methods From July 2010 to July 2012, 58 cases of laryngeal patients diagnosed and treated in our hospital were randomly divided into control group (ketamine intravenous anesthesia) and observation group (sevoflurane inhalation anesthesia), each group had 29 For example, the mean arterial pressure (MAP), heart rate (HR), heart rate (HR) before anesthesia (T0), before operation (T1), after operation 10min (T2), after operation 30min (T3), and at the end of operation ). According to the FLACC score method, the postoperative analgesic effect was scored, and the postoperative wake recovery time was observed and compared. Results Compared with the control group, the mean arterial pressure and heart rate in the observation group decreased significantly (P <0.05), and were basically in anesthesia before operation (T1), 10 min after operation (T2), 30 min after operation (T3) and at the end of operation Before the observation group, the recovery time of the observation group was significantly shortened, and the pain score was significantly reduced, P <0.05, the difference was statistically significant. Conclusion For children with laryngeal surgery, sevoflurane inhalation anesthesia significant effect of postoperative analgesic effect is significant, worthy of clinical promotion.